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目的:评价急救麻醉咽喉镜下气管插管和洗胃术应用药物中毒危重患者的疗效和价值。方法:对50例药物中毒危重患者随机分成2组,第I组采用供应喷氧给药急救麻醉咽喉镜下气管插管和洗胃术,第II组使用进行普通咽喉镜进行双管术,2组同时配合应用其他解毒药物和呼吸机等辅助手段治疗。结果:第I组供应喷氧给药急救麻醉咽喉镜优于第II组普通麻醉咽喉镜的疗效,前者比后者缩短插管时间(P<0.05),提高插管成功率(P<0.05),降低药物中毒危重患者死亡率及并发症(P<0.05)。结论:供应喷氧给药急救麻醉咽喉镜下进行气管插管和洗胃术同时给予呼吸机和抢救药物辅助抢救中毒危重患者的疗效显著,可有效预防呼吸衰竭或呼吸停止,纠正严重乏氧,有助于改善患者预后。
Objective: To evaluate the efficacy and value of first aid anesthesia for tracheal intubation and gastric lavage in critically ill patients with drug poisoning. Methods: Fifty critically ill patients with drug-induced poisoning were randomly divided into two groups. Group I was given anesthetic anesthesia and laryngoscope for tracheal intubation and gastric lavage. Group II was used for general anesthesia. Group with the application of other antidotes and ventilator and other auxiliary treatment. Results: In group I, the first anesthesia throat laryngoscope with spraying oxygen administration was superior to the general anesthesia throat laryngoscope in group II. The former reduced the intubation time (P <0.05) and the intubation success rate (P <0.05) , Reduce the mortality and complications of critically ill patients (P <0.05). Conclusion: The supply of oxygen injection to the emergency anesthesia throat endotracheal intubation and gastric lavage at the same time give the ventilator and rescue drugs to help rescue critically ill patients with significant effect, which can effectively prevent respiratory failure or respiratory arrest, to correct severe hypoxia, Helps to improve patient outcomes.