CAJ | 학술논문

目的：评估早期预防性气管插管在严重创伤早期急救中价值，提高严重创伤早期急救能力。方法采用回顾性研究258例严重创伤引起急性气道梗阻患者根据，观察达到梗阻标准和呼吸衰竭为对照组（n＝84），出现有气道梗阻趋势进行预防性气管插管为观察组（n＝174），比较平均住院时间、多器官功能衰竭发生率、病死率。结果观察组的伤员平均住院时间17．2 d ，多器官功能衰竭发生率44．59％，病死率10．67％。对照组平均住院时间27．9 d ，多器官功能衰竭发生率67．51％，病死率33．75％，两组比较差异有统计学意义（ P＜0．05）。结论早期预防性气管插管可对严重创伤进行较好气道管理，改善呼吸，缩短严重创伤患者住院日、降低并发症；对提高抢救成功率有重要意义。
목적：평고조기예방성기관삽관재엄중창상조기급구중개치，제고엄중창상조기급구능력。방법채용회고성연구258례엄중창상인기급성기도경조환자근거，관찰체도경조표준화호흡쇠갈위대조조（n＝84），출현유기도경조추세진행예방성기관삽관위관찰조（n＝174），비교평균주원시간、다기관공능쇠갈발생솔、병사솔。결과관찰조적상원평균주원시간17．2 d ，다기관공능쇠갈발생솔44．59％，병사솔10．67％。대조조평균주원시간27．9 d ，다기관공능쇠갈발생솔67．51％，병사솔33．75％，량조비교차이유통계학의의（ P＜0．05）。결론조기예방성기관삽관가대엄중창상진행교호기도관리，개선호흡，축단엄중창상환자주원일、강저병발증；대제고창구성공솔유중요의의。
Objective To evaluate the value of early preventive tracheal intubation in the early first‐aid of serious severe trau‐ma and improve the early first‐aid ability of serious severe trauma .Methods Using retrospective study ,among 258 patients of acute airway obstruction caused by severe trauma ,those who have reached the standard of obstruction and respiratory failure according to observation were as the contrast group (n=84) ,and those who had the tendency of airway obstruction instant treatment of preven‐tive trachea intubation were as early preventive tracheal intubation group (n=174) .The average in hospital days ,the occurrence rate of multiple organ failure and death rate were contrasted .Results In the early preventive tracheal intubation group ,in hospital days were 17 .2 on average ,the occurrence rate of multiple organ failure was 44 .59% and the death rate was 10 .67% .In the con‐trast group ,it was 27 .9 d ,67 .51% and 33 .75% ,the two groups had shown significant difference(P<0 .05) .Conclusion Early tra‐chea intubation have a good trachea management of serious severe traumas ,improve inspiration ,shorten the hospitalization days ,and reduce the occurrence rate of complication .It is important to improving rescuing rate .