| 摘要: |
| ［摘要］ 目的 总结早期持续气管插管抢救重症药物中毒所致呼吸衰竭的经验，旨在提高抢救的成功率。方法 尽早清除口腔及呼吸道分泌物，迅速以便携面罩呼吸器接纯氧辅助呼吸以改善缺氧状态，赢得插管时机，然后选用呼吸机支持呼吸，密切观察病人呼吸情况作适当调整，同时加强呼吸道管理，适当应用镇静药物，把握插管留置时间及拔管指征。结果 本组53例抢救成功率81%。结论 早期持续气管插管抢救重症药物所致呼吸衰竭是一种行之有效的方法，值得推广。但须强调在插管成功后，除了密切观察病情变化，做相应处理外，加强呼吸道管理至关重要。 |
| 关键词: 急性重症药物中毒 呼吸衰竭 早期持续气道插管 机械通气 |
| DOI：10.3969/j.issn.1674-3806.2010.04.30 |
| 分类号:R 595.4 |
| 基金项目: |
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| Treatment experience of severe acute respiratory failure caused by drug poisoning |
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YANG Xin-jiang
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Department of Emergency, Qinzhou Second People′s Hospital, Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience of early continuous emergency intubation in the patients with respiratory failure due to severe drug poisoning,improve the success rate of rescuing.Methods The oral and respiratory secretions were cleared as soon as possible,and the access of portable mask respirator oxygen-assisted breathing was rapidly established to improve oxygen status and win the intubation time. And then mechanical ventilation was used to support breathing, appropriate adjustments were made on the basis of the condition of patients.While the respiratory tract management was strengthened, sedative drugs were properly used, and the retention time and extubation intubation indications were properly grasped.Results Forty-three of 53 cases in this group were successfully rescued. Success rate of resuscitation was 81%. Conclusion Early sustained tracheal intubation for severe drug-induced respiratory failure is an effective rscuing method and worth promoting. However, it should be emphasized that affter the success of the intubation, in addition to closely observing the conditions change,and making treatment accordingly, the special attention to airway management is essential. |
| Key words: Severe acute drug poisoning Respiratory failure Early continuous airway intubation Mechanical ventilation |
