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目的推广预防性气管插管与洗胃同时进行在抢救中毒昏迷患者的应用。方法 172例中毒昏迷患者采用气管插管洗胃与116例未采用气管插管洗胃的中毒昏迷患者进行对比。结果采用气管插管的172例中毒昏迷患者170成功洗胃,成功率98.4%,病死率2.91%,吸入性肺炎发生率1.16%;未采用气管插管洗胃的116例有89例成功,成功率76.72%,病死率13.79%,吸入性肺炎发生率18.10%。经检验两组差异均有统计学意义(P均<0.005)。结论对中毒昏迷患者采用气管插管洗胃,可明显提高洗胃的效果,预防吸入性肺炎发生,降低死亡率。
Objective To promote the use of prophylactic tracheal intubation and gastric lavage while coma patients in the rescue of poisoning. Methods A total of 172 cases of poisoning and coma patients were compared with those of poisoning and coma patients who did not use endotracheal tube gastric lavage with gastric lavage. Results 172 cases of poisoning and coma with tracheal intubation were successfully gastric lavage. The success rate was 98.4%, the case fatality rate was 2.91% and the incidence of aspiration pneumonia was 1.16%. In 116 cases without gastric intubation, 89 cases were successful and successful The rate of 76.72%, case fatality rate of 13.79%, the incidence of aspiration pneumonia 18.10%. After testing, the differences between the two groups were statistically significant (P <0.005). Conclusion Gastric intubation in patients with poisoning and coma gastric lavage can significantly improve the effect of gastric lavage prevent the occurrence of aspiration pneumonia and reduce mortality.