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气管插管在小儿重症气管及支气管异物抢救中的应用

[Application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body].

作者信息

Gao Zhenfeng, Cai Xiaolan, Zhou Xuanyan

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jun;29(11):988-90.

Abstract

OBJECTIVE

To discuss the application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body. By observing the patient's clinical pathological characteristics, the diagnosis and treatment experience were summarized.

METHOD

A retrospective analysis of 10 children with severe tracheal and bronchial foreign bodies were performed. They were given emergency intubation and cardiopulmonary resuscitation to relieve respiratory and circulatory failure after reaching hospital. After the restoration of spontaneous respiration, oxygen saturation increased by more than 90 percent and vital signs stable, the foreigh body was removed with bronchoscopy. The role of endotracheal intubation before and after the treatment of tracheal and bronchial foreign bodies in children was observed.

RESULT

Ten cases of children were rescued successfully. No one died and the complications such as cerebral palsy, pneumothorax and pneumomediastinum didn't happened.

CONCLUSION

For the children with severe tracheal and bronchial foreign body, endotracheal intubation can establish effective ventilation in a shorter period of time. The earlier endotracheal intubation, the shorter time required and the higher success rate. Endotracheal intubation can increase the survival rate of children with cardiopulmonary resuscitation, and can reduce disability.

摘要

目的

探讨气管插管在小儿重症气管及支气管异物抢救中的应用。通过观察患者的临床病理特征,总结诊治经验。

方法

对10例小儿重症气管及支气管异物患者进行回顾性分析。入院后给予紧急插管及心肺复苏以缓解呼吸及循环衰竭。自主呼吸恢复、血氧饱和度升至90%以上且生命体征稳定后,行支气管镜下异物取出术。观察气管插管在小儿气管及支气管异物治疗前后的作用。

结果

10例患儿均成功救治。无死亡病例,未发生脑瘫、气胸及纵隔气肿等并发症。

结论

对于小儿重症气管及支气管异物,气管插管能在较短时间内建立有效通气。气管插管越早,所需时间越短,成功率越高。气管插管可提高小儿心肺复苏的生存率,并可减少致残率。

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