重症SARS患者的气管插管分析

目的对13例重症严重急性呼吸综合征(severe acute respiratory syndrome,SARS)患者的气管插管及呼吸治疗进行分析。方法 采用回顾性方法,对重症监护病房收治的13例SARS患者的气管插管情况进行分析。结果 在转入的13例重症SARS患者中,已有3例行气管插管或气管切开,其余患者采用面罩或鼻导管吸氧。随着病情的进展,有1例患者需进行气管插管,1例气管插管后再行气管切开,并有2人次更换气管插管。结论对无创呼吸支持无效病例应采取气管插管,给予有创呼吸支持,以增加患者的救治机会。气管切开前先行气管插管有助于减少缺氧的发生及呼吸道分泌物的播散,规范化的防护措施能有效防止医务人员感染。

Evaluation of tracheal intubation in critical SARS patients

To analyze tracheal intubation and respiratory treatment in the critical severe acute respiratory syndrome (SARS)patients.Methods Review and analyze tracheal intubation and respiratory treatment in critical SARS patients in intensive care unit(ICU).Results Three of thirteen patients had been intubated or received tracheotomy before they entered into ICU,the other patients received treatment of nasal cannula or oxygen mask.With the development of the disease,two patients had been intubated because of respiratory failure or tracheotomy.Tracheal intubation was twice made in two patients in order to replace tracheal tubes.Conclusions The patient should be intubated or received tracheotomy if non-invasive respiratory support has no effect.Standard protection could protect medical staff from infection under tracheal intubation.