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目的 探讨在心肺复苏过程中早期气管插管对预后的影响。方法 选择呼吸衰竭及呼吸、心跳停止病例 5 5例 ,根据对患者进行气管插管时机的不同分为两组 ,一组 34例 ,行早期气管插管 ;二组 2 1例 ,行晚期气管插管。结果 早期气管插管组心肺复苏成功 2 3例 (6 7 7% ) ,出院存活 18例 (38 1% ) ;晚期气管插管组复苏成功 8例 (38 1% ) ,出院存活 5例 (2 3 8% ) ,两组复苏成功率和出院存活率相比 ,差异有显著意义(P <0 0 5 )。结论 在患者尚未出现呼吸、心跳停止时即进行气管插管呼吸机支持呼吸 ,能提高心肺复苏成功率。
Objective To investigate the effect of early tracheal intubation on prognosis during cardiopulmonary resuscitation. Methods Fifty-five patients with respiratory failure, respiratory arrest and cardiac arrest were divided into two groups according to the timing of endotracheal intubation. One group consisted of 34 patients with early tracheal intubation, and the other 21 patients with late tracheal plug tube. Results The success rate of cardiopulmonary resuscitation in the early tracheal intubation group was 23 (67.7%) and 18 patients (38.1%) were discharged. 8 cases (38.1%) were successful in the late tracheal intubation group and 5 cases 3 8%). There was significant difference between the two groups in the success rate of recovery and the survival rate of discharge (P <0.05). Conclusion In patients with no respiration, cardiac arrest when the endotracheal intubation ventilator support breathing, can improve the success rate of cardiopulmonary resuscitation.