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目的:评价Airtraq可视喉镜在急诊危重症患者插管中的作用。方法:对46例需要气管插管的急危重症病例,随机分成A、B两组,A组使用Airtraq可视喉镜,B组使用普通直接喉镜,观察插管时间,插管成功率。结果:两组插管时间无统计学差异,Airtraq可视喉镜一次性插管成功率高于普通直接喉镜,但无统计学意义。结论:Airtraq可视频喉镜可用于颈椎损伤等危重病患者的气管插管,对口咽喉部损伤小,但在插管时间和插管成功率方面无明显优势,更适合于医学带教。
OBJECTIVE: To evaluate the role of Airtraq video laryngoscopy in intubation in critically ill critical patients. Methods: Forty-six cases of acute critically ill patients requiring tracheal intubation were randomly divided into A and B groups. Airtraq visual laryngoscope was used in group A and intubation time and intubation success rate were observed in group B using ordinary direct laryngoscope. Results: There was no significant difference in intubation time between the two groups. The success rate of Airtraq video-guided laryngoscopy was higher than that of the direct laryngoscope, but it was not statistically significant. Conclusion: Airtraq video laryngoscope can be used for endotracheal intubation in critically ill patients such as cervical spine injury, with less damage to the oropharyngeal and larynx. However, there is no obvious advantage in intubation time and intubation success rate, which is more suitable for medical teaching.