气管插管术在院前急救中毒患者中的应用研究

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Abstract ObjectiveTo observe the clinical effect of emergency treatment of hospitalized tracheal intubation in poisoned patients.MethodsSeventy-six cases of poisoning with respiratory failure or respiratory arrest admitted to our hospital from January 2011 to January 2013 were selected as research objects,among which,poisoning with respiratory failure or respiratory arrest admitted to our hospital from January 2011 to January 2012 were treated routinely(observation group),and patients in each group were treated by pre-hospital tracheal intubation from February 2012 to January 2013(treatment group),with 38 cases in each group.Observe and compare the curative effect and complications of two groups of subjects after treatment.ResultsThe success rate of rescue in the treatment group was significantly higher than that in the observation group.The difference was statistically significant(P＜0.05).Sixmonths later,wemade a hospital return visit to two groups of patients.therewere 2 deaths among 18 surviving patients in the observation group and 2 deaths among 38 patients in the treatment group.Themortality rate of patients in the treatment group was 5.3%lower than that in the observation group(10.0%),and the differencewas statistically significant(P＜0.05).Complications such as bleeding in oral cavity and throat,airway obstruction and choking cough occurred in both groups.there were 5 complications in the observation group and 23 complications in the treatment group.the incidence of complications in the treatment group　(13.2%)was significantly lower than that in the observation group　(60.1%),and the difference was statistically significant(P＜0.05).ConclusionPerforming on-site tracheal intubation treatment on poisoning patients with respiratory failure or respiratory arrest due to poisoning,canmaintain the effective ventilatorymaintenance.improve the success rate of prehospital resuscitation significantly,and reduce themortality and incidence of complications significantly Therefore,it isworth to extensively clinical application.

Key words： Tracheal intubation Prehospital care Effects evaluation

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	Articles by authors
	TANG Hai-yang
	YE Yong
	LONG Chun-xiang

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TANG Hai-yang,YE Yong,LONG Chun-xiang. The application study of tracheal intubation in poisoning patients given prehospital emergency[J]. 中国当代医药, 2018, 25(16): 44-46.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I16/44

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