摘要
目的对急诊内科进行气管插管的病例特征进行分析,总结治疗效果,然后对其插管的时机、方法进行探究。方法依据在急诊内科进行治疗的患者的具体情况,将调查患者分为三组:第1组是到医院时临床表现已经死亡的患者(23例);第2组是到医院急诊内科经抢救无效死亡的患者(30例);第3组是到医院急诊内科经抢救存活,并转入病房留待观察的患者(30例)。结果第1组患者在其口气管实施插管,平均抢救30 min后,没有出现心跳呼吸恢复的病例;第2组患者虽然通过CPR急诊治疗,但是其呼吸不能恢复至正常水平,或因不能控制其原发病,因此最终抢救无效死亡;第3组患者中有13例经口插管,17例经鼻插管,最终在急诊内科留待观察后治疗出院患者6例,在病房经ICU治疗基本痊愈出院患者12例,死亡12例。结论在急诊内科病危的患者,往往由内科医师对需要接受插管治疗的患者实施首诊治疗。而插管方法的选择及插管成功率的提高往往是决定患者治疗效果的关键因素。
Objective AIM Intubation in the emergency medical characteristics of cases, intubation, timing and methods of inquiry. Methods Based on the specific circumstances of the patient survey were divided into three groups： group 1 was already dead to the hospital when patients （23 cases）; Group 2 is to the patient after she died （30 cases）; Group 3 is by rescue survival of patients （30 cases）. Results Group 1 patients in its implementation intubation, the average half an hour after the rescue, no cases of cardiopulmonary recovery; second group of patients because they can not control their primary disease, so eventually died; 3 groups of patients in the ward The basic treatment of ICU patients cured 12 cases, 12 patients died Conclusion Critically ill patients in e- mergency medicine, often by a physician for treatment of patients requiring intubation to implement the first patient treatment. The choice of methods and intubation intubation success rate improved patient outcomes is often a key decision factor.
出处
《中国卫生产业》
2014年第4期159-160,共2页
China Health Industry
关键词
急诊内科
气管插管
时机
方法
Emergency medicine
Endotracheal intubation
Timing
Method
