探析气管插管在院前急救中的应用.docx

探析气管插管在院前急救中的应用
摘要: 目的 探讨院前急救中重型颅脑损伤患者气管插管的时机。 方法 选取我院2001~2004年间院前急救中重型颅脑损伤患者436例,按插管距受伤时间(30min,30~60min,60min以上)分为三个观察组,再根据三个组血气分析的指标值和预后观察值进行组间对比研究。 结果 30min和60min以上组的插管时间对患者的预后有显着的统计学意义(P
关键词: 重型颅脑损伤 院前急救 气管插管 血气分析 预后
Application of tracheal intubation on severe head injury in pre-hospital
【Abstract】 Objective To explore the opportunity of tracheal intubation on severe head injury patients in pre-hospital 436severe head injury patients have been observed and divided into three groups according to the time of tracheal intubation(,,and over1h)in pre-hospital emergency,comparing blood gas analysis and outcome Opportunity of tracheal intubation has clinical significance be-tween30minutes group and over1hour The time of tracheal intubation of severe head injury pa-tients as early as possible in pre-hospital emergency can significantly increase patients'outcome.

【Key words】 severe head injury pre-hospital emergency tracheal intubation blood gas analysis prognosis
目前意外伤害已成为人类主要的致死因素之一,在意外伤害中致死率最高的要属颅脑损伤,我们回顾性分析几年来在院前急救中436例重型颅脑损伤病例,在院前即进行气管插管有着重要的临床意义。
1 临床资料
一般资料 我院在2001~2004年间急诊收治436例按GCS评分3~6分的重型颅脑损伤患者,按插管距受伤时间共分为3组:(1)选取伤后30min内行气管插管的病例81例;(2)30min~1h内行气管插管的病例共115例;(3)选取伤后>1h未行气管插管的病例240例。各组在从不同时间的动脉血气分析指标、患者预后两个方面比较不同时间插管的患者