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目的观察食道-气管联合导管在院前心肺复苏中建立紧急通气道的临床效果。方法将139例院前呼吸心跳骤停患者随机分为2组,对照组69例采用简易呼吸器,观察组70例采用食道-气管联合导管。对比操作的难易程度,操作所需时间,复苏成功率。结果食道-气管联合导管行机械通气操作简单,所需的时间较简易呼吸器长,但一次插管成功率高,复苏成功率高于简易呼吸器手控呼吸组(P<0.05)。结论食道-气管联合导管行机械通气操作简单、迅速、有效,气道管理方便,便于安全转运患者,进一步提高复苏成功率,值得临床应用。
Objective To observe the clinical effect of esophageal-tracheal catheter in establishing emergency ventilation in pre-hospital cardiopulmonary resuscitation. Methods One hundred and ninety-nine patients with sudden cardiac arrest before hospitalization were randomly divided into two groups, 69 patients in the control group received simple respirator, and 70 patients in the observation group received esophageal-tracheal catheterization. Comparison of the ease of operation, the operation time required, the success rate of recovery. Results The mechanical ventilation of esophageal-tracheal combined catheter was simple and required time longer than simple respirator, but the success rate of primary intubation was higher than that of manual respiration of simple respirator (P <0.05). Conclusions The mechanical ventilation of esophageal-tracheal tube in combination with catheter is simple, rapid and effective, convenient for airway management and safe transit of patients, and further improves the success rate of recovery. It is worth clinical application.