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目的分析紧急气管插管治疗急诊重症监护室(ICU)脑血管意外呼吸心跳骤停的复苏效果。方法对我院急诊ICU 2011年2月—2013年2月收治的50例脑血管意外呼吸心跳骤停患者的临床资料进行回顾性分析,依据行气管插管的时间将患者分为观察组(≤6min)和对照组(>6min)。观察组患者即刻插管治疗,对照组患者难度插管治疗。结果观察组患者的复苏成功率和出院存活率高于对照组,且插管时间短于对照组,差异有统计学意义(P<0.05)。结论紧急气管插管能够有效提升急诊ICU脑血管意外呼吸心跳骤停患者的复苏成功率及出院存活率,值得在临床推广。
Objective To analyze the effect of emergency endotracheal intubation in the resuscitation of sudden cardiac arrest in emergency intensive care unit (ICU). Methods The clinical data of 50 patients with sudden cardiac arrest from cerebrovascular accident admitted from January 2011 to February 2013 in our hospital were retrospectively analyzed. According to the time of tracheal intubation, the patients were divided into observation group (≤ 6min) and control group (> 6min). Patients in the observation group were intubated immediately, while those in the control group were intubated for treatment. Results The success rate of resuscitation and discharge in the observation group were higher than those in the control group, and the duration of intubation was shorter than that in the control group (P <0.05). Conclusion Emergency endotracheal intubation can effectively improve the success rate of resuscitation and the survival rate of discharge in emergency ICU patients with sudden cardiac arrest. It is worthy of clinical promotion.