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目的:对院前急救中气道管理与呼吸支持的应用方法与应用效果进行分析。方法:选取于2011年4月～2013年6月行院前急救患者158例,回顾性分析患者临床资料与气道管理、呼吸支持方法。结果:158例患者均行院前急救,其中23例在侧转头部并对口腔异物加以清除后呼吸充分、规律,50例由于呼吸微弱或呼吸骤停给予气管插管,24例患者进行口咽部通气管放置,其中18例由于呼吸慢、浅给予透明面罩气囊呼吸辅助。所有患者发绀症状均有显著改善,在现场急救后均顺利转入医院接受进一步治疗。结论:在院前急救中展开合理、阶梯性气道管理,给予患者有效、及时呼吸支持,可大幅提高患者抢救成功率与生存率。
OBJECTIVE: To analyze the application methods and effects of airway management and respiratory support in pre-hospital emergency care. Methods: From April 2011 to June 2013, 158 patients were selected as first aid before hospital. The clinical data, airway management and respiratory support were retrospectively analyzed. Results: All 158 patients underwent pre-hospital first aid. Twenty-three of the 23 patients were adequately ventilated and regularly ventilated after the lateral rotation of the head and removal of oral foreign bodies. Fifty patients underwent tracheal intubation due to weak respiration or respiratory arrest, and 24 patients underwent mouth- Pharyngeal ventilation tube placed, of which 18 cases due to slow breathing, light to give transparent mask air bag breathing assistance. All patients with cyanotic symptoms were significantly improved, after the scene first aid were transferred to the hospital for further treatment. Conclusion: In the pre-hospital emergency, reasonable and step-by-step airway management should be given to patients effectively and timely respiratory support, which can greatly improve the success rate and survival rate of patients.