CAJ | 학술논문

目的：评价儿科重症监护室内紧急气管插管并发症的风险，寻找并发症的危险因素。方法应用统一的紧急气管插管资料收集表前瞻性收集2011年11月至2012年5月该院儿科重症监护室紧急气管插管患儿相关资料，根据有无并发症分组，比较组间差异，将所有研究因素纳入Logistic回归寻找并发症危险因素。结果（1）69．1％的患儿至少出现一种并发症，主要包括低氧血症（67．9％）、心动过缓（29．8％）、返流（16．7％）。（2）紧急插管发生在非工作时间的可能性是工作时间的1．7倍，非工作时间插管并发症的发生率是工作时间的2．7倍。（3）Logistic回归分析显示经鼻插管、插管2次以上、非工作时间插管与并发症有关。结论紧急气管插管发生在非工作时间的可能性是工作时间的1．7倍，非工作时间、经鼻插管、插管2次以上与紧急插管并发症有关。
목적：평개인과중증감호실내긴급기관삽관병발증적풍험，심조병발증적위험인소。방법응용통일적긴급기관삽관자료수집표전첨성수집2011년11월지2012년5월해원인과중증감호실긴급기관삽관환인상관자료，근거유무병발증분조，비교조간차이，장소유연구인소납입Logistic회귀심조병발증위험인소。결과（1）69．1％적환인지소출현일충병발증，주요포괄저양혈증（67．9％）、심동과완（29．8％）、반류（16．7％）。（2）긴급삽관발생재비공작시간적가능성시공작시간적1．7배，비공작시간삽관병발증적발생솔시공작시간적2．7배。（3）Logistic회귀분석현시경비삽관、삽관2차이상、비공작시간삽관여병발증유관。결론긴급기관삽관발생재비공작시간적가능성시공작시간적1．7배，비공작시간、경비삽관、삽관2차이상여긴급삽관병발증유관。
Objective To assess the risk of emergent endotracheal intubations in pediatric intensive care unite (PICU ) and to de-termine the risk factors of complications .Methods A prospective study was conducted with unified tables to collected data of all e-mergent intubations occurring in PICU between November 2011 and May 2012 .All the children were divided into group of any com-plication and group of no complication .Results (1)69 .1% children of emergent intubations had complications including desatura-tion(67 .9% ) ,bradycardia(29 .8% ) ,vomiting (16 .7% ) .(2)Emergent endotracheal intubations were 1 .7 times more likely to occur off-hours .Off-hours intubations were associated with 2 .7 times the risk of complications as on-hours intubations .(3)In a multivari-ate logistic regression analysis ,the nasal tracheal intubation ,two or more attempts at intubation ,and off-hours intubation were asso-ciated with complications .Conclusion Emergent endotracheal intubation are 1 .7 times more likely to occur off-hours .off-hours in-tubations ,the nasal tracheal intubation ,two or more attempts at intubation ,are associated with complications .