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目的:探讨T-组合复苏器(T-piece)在新生儿窒息现场复苏中应用的治疗效果。方法:在复苏过程中,根据现场设备准备情况实施自动充气式复苏器或T-piece人工通气。在复苏过程中单纯使用T-piece-面罩正压通气病例123例与在复苏过程中使用了自动充气式气囊人工通气病例102例,入NICU后即刻采取桡动脉微量血行血气分析,并拍摄X线胸片进行分析比较。结果:两组复苏成功率、血气指标无显著性差异(P>0.05),使用Tpiece人工通气后气漏的发生率比自动充气式复苏气囊人工通气低,有显著性差异(P<0.05)。结论:新生儿窒息现场复苏过程中应用T-piece简单、安全、有效,重复操作性强,可有效减少或避免气漏的发生,值得临床推广。
Objective: To investigate the therapeutic effect of T-piece in resuscitation of neonatal asphyxia. Methods: During recovery, an automatic inflatable resuscitator or T-piece artificial ventilation was performed according to field equipment preparation. In the course of resuscitation, 123 cases of T-piece-mask positive pressure ventilation and 102 cases of artificial ventilation of auto-inflated balloon were used during the resuscitation. Blood samples of radial arterial blood gas were taken immediately after NICU, and X-ray Chest X-ray analysis and comparison. Results: There was no significant difference between the two groups in the success rate of resuscitation and the blood gas index (P> 0.05). The incidence of air leak after using Tpiece artificial ventilation was significantly lower than that of automatic inflation resuscitation balloon (P <0.05). Conclusion: The application of T-piece in the field resuscitation of neonatal asphyxia is simple, safe, effective and repeatable. It can effectively reduce or avoid the occurrence of air leakage and is worthy of clinical promotion.