快速诱导插管在急诊严重创伤患者中的应用

The application of rapid sequence intubation for emergency severe trauma patients

目的:强调快速诱导插管(RSI)在严重创伤患者救治过程中的应用。方法:回顾性分析59例严重创伤患者临床资料,所有患者符合急诊气管插管指征。依据是否行RSI,将其分为A、B、C 3组。其中A组22例,无药物诱导;B组19例,选用镇静药物咪达唑仑;C组18例,选用咪达唑仑+氯化琥珀胆碱(RSI)。结果:A组插管成功率59.1%,B组插管成功率78.2%,C组插管成功率100%。结论:RSI在急诊严重创伤患者中可以大大提高插管成功率。对急诊科严重创伤患者施行RSI,能有效地保证气道开放和通气,保护气道减少误吸,为进一步检查和治疗提供了基本的生命支持。提倡在急诊科强化此项急救技术的培训,使之成为所有急诊医师必须掌握的基本医疗技术。

Objective： Emphasize the application trauma patients. Method：A retrospective study was of rapid induction intubation（RSI） in the treatment of severe conducted on 59 cases of severe trauma,which were in accord- ance with the conditions. All patients met emergency tracheal intubation indications. A group of 22 cases,no drug induced. B group of 19 cases, the use of sedative drugs midazolam. C group of 18 cases, the use of midazolam q- suxamethonium chloride RSI. Result： A group： The success rate of intubation was 59. 1%, B group The success rate of intubation was 78.2%. C group：the success rate of intubation was 100%. Conclusion： RSI in patients with severe trauma in the emergency department can greatly intubation success rate. The RSI in emergency department can effectively ensure the airway opening and ventilation, protect the airway to reduce aspiration, and provide basic life support for further examination and treatment. To promote the training of emergency medical technology in ED,to make it become the basic medical technology that all emergency medical personnel must master.