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[重症SARS患者气管插管的评估]

[Evaluation of tracheal intubation in critical SARS patients].

作者信息

Gong Zhi-yi, Huang Yu-guang, Wang Jing-jie, Xu Qing, Li Yong, Yu Xue-rong, Chen Guang-jun, Luo Ai-lun, Ren Hong-zhi

机构信息

Department of Anesthesiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2003 Oct;25(5):550-2.

Abstract

OBJECTIVE

To analyze tracheal intubation and respiratory treatment in the critical severe acute respiratory syndrome (SARS) patients.

METHODS

Review and analyze tracheal intubation and respiratory treatment in critical SARS patients in intensive care unit (ICU).

RESULTS

Three of thirteen patients had been intubated or received tracheotomy before they entered into ICU, the other patients received treatment of nasal cannula or oxygen mask. With the development of the disease, two patients had been intubated because of respiratory failure or tracheotomy. Tracheal intubation was twice made in two patients in order to replace tracheal tubes.

CONCLUSIONS

The patient should be intubated or received tracheotomy if non-invasive respiratory support has no effect. Standard protection could protect medical staff from infection under tracheal intubation.

摘要

目的

分析重症严重急性呼吸综合征(SARS)患者的气管插管及呼吸治疗情况。

方法

回顾并分析重症监护病房(ICU)中重症SARS患者的气管插管及呼吸治疗情况。

结果

13例患者中有3例在进入ICU之前已行气管插管或气管切开术,其他患者接受鼻导管或面罩吸氧治疗。随着病情发展,2例患者因呼吸衰竭而行气管插管或气管切开术。2例患者因更换气管导管而进行了两次气管插管。

结论

无创呼吸支持无效时应行气管插管或气管切开术。标准防护可在气管插管时保护医务人员免受感染。

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