摘要
目的观察急诊抢救危重患者的呼吸阶梯化管理中应用有创呼吸支持方法的效果。方法回顾性总结分析2009年9月～2012年9月年在本院进行治疗时采用呼吸阶梯化管理且采用有创呼吸支持治疗的患者234例,比较不同有创呼吸方式操作完成所需的时间及安全性。结果平均所需操作时间最短的有创呼吸方式为环甲膜穿刺术,其所需时间为(1.2±0.2)min,显著低于其他有创呼吸方式(P<0.05),安全性最高的则为气管穿刺导入气管套管术,其24 h术后并发症比例仅为2.08%,,显著低于其他操作方式(P<0.05)。结论若急诊抢救中危重症患者需在第一时间内建立有效有创呼吸,建议选择环甲膜穿刺术;若患者建立有效呼吸时要求并发症少、安全系数高,则建议选取气管穿刺导入气管套管术。
Objective To observe the effect of applying invasive respiratory support method in emergency critical pa- tients＇ breath step administration. Methods Retrospectively summarized and analyzed 234 cases of these patients who had invasive respiratory support as treatment in our hospital from September 2009 to September 2012,the different respiratory methods＇ operation time and security were compared. Results Cricothyroid membrane puncture was the av- erage shortest operation time required to have a breath way,the time it needed was （1.2±0.2） min,it was obviously lower than other invasive breathing pattern （P〈0.05）, while tracheal puncture import tracheal tube operation＇s security was the highest,its complication ratio was only 2.08% after 24 h of operation,it was evidently lower than other operations＇ （P〈0.05）. Conclusion When a emergency critical patient who need effective invasive respiratory support in the first time,we suggest choosing needle cricothyroidotomy,while a patient who need establish effective breath,and ask for fewer complications and higher security,we suggest adopting tracheal puncture import tracheal tube operation.
出处
《中国当代医药》
2013年第20期191-192,共2页
China Modern Medicine
关键词
急诊抢救
危重患者
呼吸阶梯化管理
有创呼吸
Emergency treatment
Critical patient
Breath step administration
Invasive respiratory
