Application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body
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摘要: 目的:探讨气管插管在危重气管及支气管异物患儿抢救中的应用,观察患儿的临床病理特征,总结诊疗经验。方法:回顾性分析10例危重气管及支气管异物患儿的临床资料。10例患儿来院后均给予紧急气管插管、心肺复苏以缓解患儿呼吸、循环衰竭,待恢复自主呼吸、SpO2上升达到90%以上、生命体征稳定后再行喉气管镜检查并取出异物。观察气管插管在危重气管及支气管异物患儿手术前后救治中的作用。结果:10例患儿均抢救成功,无一例死亡,均未出现脑瘫、气胸和纵隔气肿等并发症。结论:对于危重气管及支气管异物患儿,气管插管能在较短的时间内建立有效通气。气管插管时间越早,所需时间越短,成功率越高。气管插管可以提高心肺复苏患儿的存活率,减少致残率。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 foreign 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.
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Key words:
- foreign bodies /
- trachea /
- bronchi /
- child /
- endotracheal intubation
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