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目的观察喉罩在院前心肺复苏中建立紧急通气道的临床效果。方法将我院急诊科2005年7月至2010年12月140例院前呼吸心跳骤停患者随机分为2组,对照组70例采用简易呼吸器,观察组70例采用喉罩。对比操作的难易程度,操作所需时间,复苏成功率。结果喉罩行机械通气操作简单,一次插管成功率高,复苏成功率14.29%,高于简易呼吸器手控呼吸组(5.71%,P<0.05)。结论喉罩行机械通气操作简单、迅速、有效,气道管理方便、快捷,便于安全转运患者,进一步提高复苏成功率。
Objective To observe the clinical effect of laryngeal mask in establishing emergency ventilation in pre-hospital cardiopulmonary resuscitation. Methods A total of 140 cases of pre-hospital respiration arrest from July 2005 to December 2010 in our hospital were randomly divided into two groups. Control group, 70 cases were treated with simple respirator. The observation group was treated with laryngeal mask. Comparison of the ease of operation, the operation time required, the success rate of recovery. Results The laryngeal mask mechanical ventilation was simple and successful. The success rate of primary intubation was 14.29%, which was higher than that of manual breathing group of simple respirator (5.71%, P <0.05). Conclusions Laryngeal mask mechanical ventilation is simple, rapid and effective, it is convenient and quick to manage airway, and it is convenient for safe transit of patients and further improve the success rate of recovery.