摘要
目的:探讨急诊支气管镜抢救脑卒中后假性球麻痹急性误吸窒息患者的临床疗效。方法:分析脑卒中后误吸急性窒息患者52例,对比在支气管镜抢救后60min时间截点时,患者呼吸频率、指脉氧、氧分压、呼吸困难程度的变化,了解急诊支气管镜对此类病人的抢救效果;在24h时间截点时存活率,了解支气管镜救治的有效性。结果:52例患者在支气管镜抢救后呼吸困难程度、指脉氧、动脉血氧分压、呼吸频率迅速改善,存活率为88.5%,死亡率为12.5%。结论:支气管镜畅通气道对抢救此类病人有可靠的临床效果和较高存活率。
Objective： To discuss the clinical effect of pseudobulbar palsy patients with acute aspiration by using emergent bronchoscope rescue after stroke. Methods： 52 patients of asphyxia after stroke were analyzed. The patients＇ bronchoscope rescue effect after 60 minutes, changes of breathe rate, pulse oxygen, pressure and anhelation degree were compared. Emergent bronchoscope rescue effect based on survival rate after hours. Results： Anhelation degree, pulse oxygen, arterial pressure of oxygen and breathe rate of 52 patients greatly improved, with survival rate of 88.5 % and death rate of 12.5 %. Conclusion： Bronchoscope has reliable clinical effect and higher survival rate .
出处
《武汉大学学报（医学版）》
CAS
2015年第5期776-778,共3页
Medical Journal of Wuhan University
关键词
误吸窒息
脑卒中
假性球麻痹
支气管镜急救
Aspiration and Asphyxia
Stroke
Pseudobulbar Palsy
Emergency Bronchoscope
