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目的总结气管插管在院前急救中应用的经验,以期提高整体急救水平。方法回顾性分析62例院前急救气管插管抢救危重患者的临床资料。结果62例气管插管中49例为一次插管成功,12例为2次以上插管后成功,插管时间8s～18min,平均78s。1例插管失败。50例现场气管插管,成功建立人工通气后,经进一步抢救全部存活;12例现场心肺复苏患者中,气管插管后未能恢复有效循环死亡。结论院前急救的重心应前移至出诊前设备的检查及准备、路途中电话了解患者病史特点及气道评估,及现场处理时注意环境的选择,随机应变。
Objective To summarize the experience of tracheal intubation in prehospital emergency treatment in order to improve the overall emergency level. Methods Retrospective analysis of 62 cases of prehospital emergency tracheal intubation rescue critical patients clinical data. Results Of the 62 tracheal intubation cases, 49 cases were successfully intubated, 12 cases were successful after 2 or more intubation, and the intubation time was 8s ~ 18min with an average of 78s. One case of intubation failed. 50 cases of endotracheal intubation, the successful establishment of artificial ventilation, after further rescue all survive; 12 cases of patients with cardiopulmonary resuscitation, tracheal intubation fails to restore effective circulation. Conclusion The pre-hospital emergency center of gravity should be moved to the pre-treatment equipment inspection and preparation, the phone during the call to understand the patient’s medical history and airway assessment, and pay attention to environmental treatment site selection, adapt to change.