重型颅脑损伤院前气管插管的临床分析

Prehospital intubation of severe brain-injured patients

目的探讨院前气管插管对重型颅脑损伤患者预后的影响。方法将重型颅脑损伤患者根据是否气管插管和插管距受伤的时间分为3组,观察记录各组死亡人数、SpO2及计算氧合指数。结果插管后SpO2及氧合指数高于插管前,未行气管插管组死亡人数更多。结论早期气管插管可以改善氧合,防止误吸,控制通气,对重型颅脑损伤患者预后是有利的。

Objective To explore prehospital intubation to influence on severe brain-injured patients＇ outcorae. Methods 148 eases of severe brain-injury have been divided into three groups according to whether or not intubafion and the time of tracheal intubation, comparing SpO2, PaO2/FiO2 and mortality of three groups. Results SpO2 and PaO2/FiO2 after intubation were higher than before intubation.Patients＇ mortality of no intubation increased. Conclusion The early traeheal intubation can mprove oxygenation, prevent aspiration, eontrol ventilation, and can significantly increase the severe brain-injured patients＇ prognosis