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在急诊救治各种原因导致的心搏骤停时,临床医师必须首先确保:①开放气道和重建呼吸;②重建循环。其实质就是在有效循环的基础上及时有效地供氧,以防止重要脏器(如脑、心脏等)缺血缺氧。传统的复苏观点认为,对发生于院外的心搏骤停现场急救要立即施行持续的胸外按压和口对口人工呼吸,而发生于院内则主张立即行胸外心肺按压和气管内插管以建立人工气道。笔者在长期急诊工作中发现,经气囊-面罩给氧同样具有良好的供氧效果,且方法简单,易于操作。本文旨在评价气囊-面罩给氧与气管内插管给氧在心肺复苏(CPR)中的氧疗效果。
In the emergency treatment of cardiac arrest caused by various reasons, clinicians must first ensure that: ① open airway and reconstruction of respiration; ② reconstruction cycle. In essence, it is based on the effective circulation of oxygen in a timely and effective manner to prevent ischemia and hypoxia of important organs (such as brain, heart, etc.). Traditional recovery point of view, on-site emergency cardiac arrest occurred immediately to the implementation of continuous chest compressions and mouth-to-mouth resuscitation, which occurred in the hospital was advocated immediately underwent extra-cardiac cardiopulmonary press and endotracheal intubation to establish Artificial airway. The author found in the long-term emergency clinic, the balloon-mask oxygen also has a good oxygen effect, and the method is simple and easy to operate. This article aims to evaluate the effect of balloon-mask oxygen therapy and endotracheal intubation oxygenation on oxygen therapy in cardiopulmonary resuscitation (CPR).