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目的:强调快速诱导插管(RSI)在严重创伤患者救治过程中的应用。方法:回顾性分析59例严重创伤患者临床资料,所有患者符合急诊气管插管指征。依据是否行RSI,将其分为A、B、C 3组。其中A组22例,无药物诱导;B组19例,选用镇静药物咪达唑仑;C组18例,选用咪达唑仑+氯化琥珀胆碱(RSI)。结果:A组插管成功率59.1%,B组插管成功率78.2%,C组插管成功率100%。结论:RSI在急诊严重创伤患者中可以大大提高插管成功率。对急诊科严重创伤患者施行RSI,能有效地保证气道开放和通气,保护气道减少误吸,为进一步检查和治疗提供了基本的生命支持。提倡在急诊科强化此项急救技术的培训,使之成为所有急诊医师必须掌握的基本医疗技术。
Objective: To emphasize the application of rapid induction catheterization (RSI) in the treatment of severe trauma patients. Methods: The clinical data of 59 patients with severe trauma were retrospectively analyzed. All patients were eligible for emergency tracheal intubation. According to whether the line RSI, it is divided into A, B, C 3 group. Among them, 22 patients in group A were induced by no drug, 19 patients in group B received sedative drug midazolam, and 18 patients in group C received midazolam plus succinylcholine chloride (RSI). Results: The successful rate of cannulation in group A was 59.1%, the successful rate of cannulation in group B was 78.2%, and the successful rate of cannulation in group C was 100%. Conclusion: RSI can greatly improve the success rate of intubation in emergency patients with severe trauma. The implementation of RSI in patients with severe trauma in emergency department can effectively ensure airway opening and ventilation, protect the airway from aspiration, and provide basic life support for further examination and treatment. To promote the training of this first aid technology in the emergency department to make it the basic medical technology that all emergency physicians must master.