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我国医疗急救资源主要分布在县市级以上城市,偏远乡镇卫生院及社区医院急救能力非常低下,笔者长期从事临床麻醉及院前院内急救工作,对乡镇卫生院及城市社区医院做过调查研究,发现基层社区医生在急诊抢救工作中维持患者基本通气这一环节明显滞后。在基层社区医院,熟练掌握气管插管技能者极少,社区医生对于抢救气道梗阻、窒息、呼吸骤停患者显得力不从心,气道控制技术低下已成为制约社区医院急救能力提高的瓶颈。
The emergency medical resources in our country are mainly distributed in the cities above county level, the remote township hospitals and community hospitals have very low emergency capacity. The author has long been engaged in clinical anesthesia and first aid in front of the hospital and conducted research on township hospitals and urban community hospitals. Found that grassroots community doctors in the emergency rescue work to maintain basic ventilation in patients with this part of the obvious lag. Community grass-roots community hospitals, skilled tracheal intubation skills are very few, community doctors for the rescue of airway obstruction, suffocation, respiratory arrest patients seem powerless, low airway control technology has become the bottleneck restricting the community hospital emergency capacity.