喉罩通气在ICU急性呼吸障碍中的应用

目的总结在ICU危重患者中出现急性呼吸障碍时应用喉罩通气和紧急气管插管对复苏成功率的影响。方法对65例在ICU内因各种原因引起心搏、呼吸骤停需要立即建立人工气道的患者,根据CPR时对患者建立人工气道的不同措施将其分为两组:喉罩组和气管插管组。从置管时间、SPO2上升时间、一次插管成功率、当次复苏成功率进行比较。结论喉罩通气具有方便、快捷、有效建立人工气道,并发症少,当次复苏成功率高,能够为危重患者抢救提供可靠保证。

Objective This paper summarizes the effect of the use of laryngeal mask ventilation and emergency tracheal intubation upon recovery when critically ill ICU patients suffer acute breathing disorders. Method It studied 65 eases in the hospital who needed immediate establishment of artificial airway resulted from cardiac arrest or respiratory arrest caused by a variety of reasons. Based on different measures taken with CPR when establishing artificial airway in patients two groups were thus formed： laryngeal mask group and traebeal intubation group. Comparing the two by way of time of placing a tube, SPO2 rising time, one-off success rate of intubation and recovering rate. Conclusion Laryngeal mask airway is more convenient, speedy and effective in the establishment of artificial airway, with fewer complications, higher success rate of recovery, providing a more reliable guarantee to save critically ill patients with acute breathing disorder.