气管插管术在238例患者中的应用及护理干预

目的分析紧急气管插管术成功的方式方法。方法对我院2007年8月至2008年8月实施238例紧急气管插管术的回顾分析。结果238例中无需药物诱导直接气管插管54例,快速静推地西泮诱导后气管插管184例。经口气管插管195例,经鼻气管插管43例。总插管成功236例,成功率99.4%。一次插管成功220例,成功率94.5%。插管失败2例,失败率0.6%。并发症发生率6.2%。结论提高紧急气管插管成功的关键是:制定明确的急诊插管适应证,做好各项术前准备工作,精练插管方法;选择合适的插管方式;评估气管插管困难程度,掌握气管插管的技巧,熟悉气管插管失败后的挽救措施;预防气管插管术的并发症。

Objective Analysis of emergency tracheal intubation successful ways and means of.Methods The 238 person-times experience be studied and summed by retrspective analysis,the persons be urgent intubated inside or outside the hespital during August 2007-August 2008 Year.Results In 238 cases of drug-induced need for endotracheal intubation 54 cases of direct, rapid static push diazepam induced 184 cases of tracheal intubation. Orotracheal intubation 195 cases, with 43 cases of nasal intubation. The success of the total 236 cases of intubation, the success rate of 99.4%. The success of the first 220 cases of intubation, the success rate of 94.5%. 2 cases of intubation failure, failure rate of 0.0%. 6.2% complication rate.Conclusion The key to the research is：Drawing up the clear-cut indica-tion of urgent intubation of trachea,Make good various preparations before operation Train the method of trachea i ntubation Choose the suitable intubation way IEvaluate the difficulty degree of trachea intubating,and grasp the skills of intubation; Familiarize the measure of remeding of trachea intubation defeat：Prevent the complication of trachea intubation.