气管插管在院前急救中的应用_0.doc

1 气管插管在院前急救中的应用作者: 周俊领卢君强刘岩松杨新民凌云王义兴洪全球【关键词】重型颅脑损伤【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著的统计学意义( )。结论在院前急救中重型颅脑损伤患者应尽可能早的行气管插管,对于提高预后有重要的临床意义。【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 2 【 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 e 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 ’ e. 【 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 ~ 200 4 年间急诊收治 436例 3 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