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目的探讨院前急救中气管插管的适应症、插管方法及控制气道的方式选择与转送距离之间的关系。方法分析我科2004年1月—2006年6月间56例院前急救病人气管插管方法及救治转送效果。结果56例病人中,成功经口明视插管48例,除现场心跳呼吸停止抢救无效死亡12例外,余均转送回院,回院后监测末梢动脉血氧饱和度(SaO2)平均为89.5%。结论院前急救中,经口明视气管插管应是控制气道的首选方法;插管导丝在院前气管插管中应常规应用;院前气管插管的关键是操作者必须经过正规培训且具有丰富经验。
Objective To investigate the indications for tracheal intubation, the method of intubation and the way to control the airway in hospital and the relationship between the distance of tracheal intubation. Methods We analyzed the tracheal intubation method and treatment and delivery of 56 cases of pre-hospital emergency patients in our department from January 2004 to June 2006. Results Of the 56 patients, 48 cases were successfully treated with oral intubation. Except for 12 cases died without rescue on-site cardiac respiration, all patients were transferred back to the hospital and the mean arterial oxygen saturation (SaO2) was 89.5% . Conclusion Prehospital first aid, oral clear as endotracheal intubation should be the preferred method of controlling the airway; intubation guide wire in the hospital before tracheal intubation should be routinely used; pre-hospital tracheal intubation key is the operator must be formal Training and experience.