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目的探讨双管喉罩应用在重症急性有机磷农药中毒致呼吸衰竭中洗胃的临床效果。方法对64例重症急性有机磷农药中毒致呼吸衰竭的患者采用置入双管喉罩后将胃管沿喉罩的食管引流管插入洗胃的方法,观察记录胃管一次插管成功率及插管时间。结果胃管一次插管成功率100%,插管时间(5.18±1.96)s。结论双管喉罩用于重症急性有机磷农药中毒致呼吸衰竭的洗胃中,不仅能够保证有效通气,而且提高了一次插胃管的成功率,明显缩短插管时间,提高了抢救成功率。
Objective To investigate the clinical effect of double laryngeal mask applied to gastric lavage in respiratory failure caused by severe acute organophosphorus pesticide poisoning. Methods Sixty-four patients with respiratory failure caused by severe acute organophosphorus pesticide poisoning were treated with laryngeal mask laryngeal mask esophageal drainage tube inserted gastric lavage after gastric laryngeal mask into the gastric lavage, observe the success rate of a tube intubation and insertion Tube time. Results The success rate of primary intubation of gastric tube was 100%, and the intubation time was 5.18 ± 1.96 s. Conclusions Double laryngeal mask can be used in gastric lavage of respiratory failure caused by severe acute organophosphorus pesticide poisoning, which not only can ensure effective ventilation but also increase the successful rate of incurable gastric tube, shorten the time of intubation and improve the success rate of salvage.