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目的分析“穿针式”改良逆行气管插管在心源性休克中的应用价值。方法选取我院2011年5月-2012年5月入院的43例心源性休克患者,按照入院登记序号分为两组,奇数组22人为观察组,偶数组21人为对照组。结果观察组与对照组的一次插管成功率分别为100%(22/22)、80.95%(17/21);插管时间分别为10±2s、20±5s;并发症分别为0例、8例,结果比较均有统计学差异(P<0.05)。结论 “穿针式”改良逆行气管插管法在心源性休克的急诊救治中缩短操作用时、避免并发症发生、提高一次插管成功率、为下一步救治提供了充足的时间。
Objective To analyze the application value of retrograde endotracheal intubation in cardiogenic shock by using “wear needle”. Methods Forty-three patients with cardiogenic shock who were hospitalized from May 2011 to May 2012 in our hospital were divided into two groups according to their registration numbers: 22 in the odd group and 21 in the even group. Results The success rates of one intubation in observation group and control group were 100% (22/22) and 80.95% (17/21) respectively. The intubation time was 10 ± 2s and 20 ± 5s respectively. Complications were 0, 8 cases, the results were statistically significant differences (P <0.05). Conclusion “Needle-type” modified retrograde tracheal intubation in the emergency treatment of cardiogenic shock shortened time to avoid complications and improve the success rate of a catheter, which provides sufficient time for the next rescue.