大咯血窒息救治成功18例体会

An 18 cases report of successful saving asphyxia from massive hemoptysis

目的通过总结大咯血窒息的救治方法,探讨如何提高大咯血窒息的抢救成功率。方法回顾分析本院近期大咯血窒息抢救成功病例的抢救方法是及时用指血氧饱和度监测仪监测血氧饱和度、人工呼吸通气球囊高压给氧、床边支气管镜、机械通气等方法,首先保证供氧再行气道血块清除,并与以往传统的抢救方法体位引流、用吸引器吸出血块等方法抢救的成功率进行对比。结果传统抢救方法的成功率为47%～81%[3,4],而利用皮氧监测仪、人工呼吸通气球囊、支气管镜、机械通气等设备抢救18例肺结核大咯血窒息病例均抢救成功。结论大咯血窒息抢救成功的关键是窒息开始的4～6min保证大脑的供氧,及时监测氧饱和度,利用人工呼吸通气球囊、支气管镜、机械通气等设备能使大咯血窒息的抢救成功率明星提高。

Objective To sum up the treatment methods of asphyxia due to massive hemoptysis, and to explore how to improve the successful life-saving rate of asphyxia due to massive hemoptysis. Methods A retrospective analysis of the successful life-saving cases of asphyxia due to massive hemoptysis, the life-saving methods were as follows： using oxygen saturation finger monitor Biometrie Monitors to monitor oxygen saturation finger monitor, high-pressure oxygen balloon artificial ventilation, bedside bronchoscopy, mechanical ventilation and so on. First of all, we ensured re-supply of oxygen to remove blood clots airway, and to compare with the traditional methods such as postural drainage, bleeding with aspirator suction block. Results The successful rate of the traditional methods were between 47% and 81% , but it was successful to rescue 18 cases pulmonary tuberculosis asphyxia due to massive hemoptysis by using these devices such as oxygen monitor, artificial ventilation balloon, bronchoscopy, mechanical ventilation. Conclusion The key to the success of the rescue of asphyxia due to massive hemoptysis are that ensure the brain＇s oxygen supply within the first 4 - 6 minutes of as asphyxia, monitoring of oxygen saturation, using the devices such as artificial ventilation balloon, bronchoseopy, mechanical ventilation can markedly improved the survival rate of suffocation.