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目的探讨食道-气管联合导气管在院前急救中建立紧急通气道的临床效果。方法50例心脏骤停患者,随机分成两组。观察组30例使用食道-气管联合导气管行机械通气,对照组20例常规气管内插管行机械通气。对比插管的难易程度,插管所需的时间,一次插管成功率、复苏成功率。结果食道-气管联合导气管行机械通气使用简单,所需的时间,一次插管成功率、复苏成功率均优于常规气管内插管。结论食道-气管联合导气管使用的方法简单易行、操作迅速,能进行有效的人工呼吸,复苏成功率高。气道管理方便、快捷,值得广泛应用于院前急救中紧急气道救援。
Objective To investigate the clinical effect of establishing esophageal-tracheal airway in emergency ventilation in prehospital hospital. Methods Fifty patients with cardiac arrest were randomly divided into two groups. In the observation group, 30 cases were given mechanical ventilation using esophageal-tracheal combined with airway tube, while 20 cases in control group were given mechanical ventilation. Compare the ease of intubation, the time required for intubation, a success rate of intubation, success rate of recovery. Results The esophageal-tracheal combined with airway catheter was simple to use, the time required, the success rate of primary intubation and the success rate of resuscitation were superior to those of conventional endotracheal intubation. Conclusion The method of esophageal-tracheal combined with airway tube is simple and easy to operate, rapid operation, effective artificial respiration, high success rate of resuscitation. Airway management is convenient and fast and should be widely used in emergency airway rescue in pre-hospital emergency.