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目的:探讨急诊支气管镜抢救脑卒中后假性球麻痹急性误吸窒息患者的临床疗效。方法:分析脑卒中后误吸急性窒息患者52例,对比在支气管镜抢救后60min时间截点时,患者呼吸频率、指脉氧、氧分压、呼吸困难程度的变化,了解急诊支气管镜对此类病人的抢救效果;在24h时间截点时存活率,了解支气管镜救治的有效性。结果:52例患者在支气管镜抢救后呼吸困难程度、指脉氧、动脉血氧分压、呼吸频率迅速改善,存活率为88.5%,死亡率为12.5%。结论:支气管镜畅通气道对抢救此类病人有可靠的临床效果和较高存活率。
Objective: To investigate the clinical efficacy of emergency bronchoscopy in the treatment of post-stroke pseudobulbar paralysis in patients with acute asphyxia. Methods: 52 cases of acute asphyxia after stroke were analyzed. Compared with 60 minutes after bronchoscopy rescue, respiratory rate, pulse oxygenation, partial pressure of oxygen and the degree of dyspnea were compared. Emergency bronchoscopy Class patient rescue effect; at 24h time cut-off survival rate to understand the effectiveness of bronchoscopy. Results: In 52 patients, the degree of dyspnea after bronchoscopy was rescued, the pulse oxygen, arterial oxygen pressure and respiratory rate were rapidly improved. The survival rate was 88.5% and the mortality rate was 12.5%. Conclusion: The bronchoscopic smooth airway has a reliable clinical effect and a high survival rate for the rescue of such patients.