急诊内科危重昏迷患者气管插管的时机与方法

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Abstract Objective To explore the timing and method of endotracheal intubation for critically ill comatose patients in emergency department.Methods Seventy-six critically ill comatose patients who received endotracheal intubation in our emergency department from January 2017 to January 2018 were selected as the research objects,and divided into immediate group (n=39)and delayed group (n=37)according to the intubation timing.In the immediate group,the emergency medical staff immediately underwent endotracheal intubation,while in the delayed group,after the anesthesiologists arrived in the emergency medical department,they underwent endotracheal intubation.The time from preparation to intubation,the time required for intubation,the success rate of endotracheal intubation,the success rate of rescue and the survival rate within one month were compared between the two groups.Results There was no statistical difference between the two groups(P＞0.05).The time from preparation to intubation in the immediate group was shorter than that in the delayed group,the difference was statistically significant(P＜0.05).There was no statistical difference between the two groups(P＞0.05).There was no statistically significant difference in the success rate of tracheal intubation between the two groups(P＞0.05).The success rate of rescue and survival rate within one month in the immediate group were significantly higher than those in the delayed group,and the difference was statistically significant(P＜0.05).Conclusion For critically ill patients in emergency department,endotracheal intubation as soon as possible based on the specific conditions of the patients can improve the success rate of rescue and reduce the occurrence of death rate.

Key words： Emergency internal medicine Severe coma Tracheal intubation Timing Methods')" href="#">Methods

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ZHENG Min-wei. Timing and method of endotracheal intubation for critically ill comatose patients in emergency department of internal medicine[J]. 中国当代医药, 2018, 25(23): 53-55.

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