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急诊气管插管难的原因及对策分析

Analysis on the causes and Countermeasures of difficult intubation in emergency

临床医学前沿 / 2020,2(1)：22-26 / 2020-04-29 2227 3918

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• 作者： 段学敏     
• 单位：

  西安市第四人民医院，西安

• 关键词： 急诊；气管插管；原因；对策分析
• Emergency; endotracheal intubation; cause; countermeasure analysis
• 摘要： 目的：探讨分析急诊患者气管插管出现困难的原因及相应对策的应用。 方法：对 2018 年 1 月至 2019 年 1 月在我院急诊科进行气管插管的 50 例患者插 管困难或失败的原因进行回顾性分析，并分析采用相应的治疗对策。结果：本 组 50 例患者中，32 例患者一次性插管成功，占 64%；12 例患者二次插管成功， 占 24%；19 例患者为插管困难，占到总例数的 38%。在麻醉师的帮助下，采用 相应的方法，15 例患者均获得气管插管成功，其中的 3 例因插管失败而选择行 气管切开。结论：及时分析急诊科患者气管插管困难的原因，做好急诊准备， 准确把握气管插管的时机，并及时采取相应的插管对策，在抢救危重患者生命 时发挥着重要的作用。
• Objective: to analyze the causes of difficulties in intubation of emergency patients and the application of corresponding countermeasures. Methods: the causes of difficulty or failure in intubation of 50 patients who were intubated in our emergency department from January 2018 to January 2019 were analyzed retrospectively, and the corresponding treatment strategies were adopted. Results: among the 50 patients, 32 patients succeeded in intubation once, accounting for 64%; 12 patients succeeded in intubation twice, accounting for 24%; 19 patients were difficult in intubation, accounting for 38% of the total. With the help of anesthesiologist, 15 patients were intubated successfully, 3 of them chose tracheotomy because of the failure of intubation. Conclusion: it plays an important role in rescuing the life of critical patients by analyzing the causes of difficult intubation in time, preparing for the emergency, grasping the opportunity of intubation accurately and taking corresponding intubation measures in time.
• DOI： https://doi.org/10.35534/fcm.0201005c
• 引用： 段学敏．急诊气管插管难的原因及对策分析［J］．临床医学前沿，2020，2（1）：22-26．