摘要
目的：探讨院前急救中应用无创正压通气(NPPV)对中、重度鱼腐败气体中毒的急救效果。方法将2007年4月-2012年12月鱼舱内鱼腐败气体中、重度中毒渔民61例分为两组，观察组31例在救护人员到达时即开始应用无创正压通气治疗，其它抢救方法同既往常规抢救。对照组30例给予高浓度氧气吸入，其它抢救措施同观察组。比较两组患者清醒时间、有创机械通气例数、动脉血氧饱和度、动脉血氧分压、动脉血二氧化碳分压、做高压氧次数、住院时间、治疗效果。结果观察组患者各项观察指标均优于对照组(P <0.05，P <0.01)。结论重度急性鱼腐败气体中毒的患者如果条件许可应在第一时间应用无创正压通气，可显著提高抢救成功率，改善患者预后。
Abstract
Objective To investigate the first and effece of noninvasive positive pressure ventilation on the treatment of moderate and severe serious Anchovy gas poisoning in pre-hospital care. Metheds Selected 61 moderate and severe Anchovy gas poisoning fishermen as the research object from April 2007 to Decenber 2012. Divided into the observation grop 31 fishermen and the controlled group 30 fishermen. Observation group's patients applied to NPPV Treatment namely when medical worker arrived,salvage method with the same conventional rescue. The controlled group's patients gave the high-concentration oxyen inspiration, other rescue measures with observation group. Compared with two group of patient's recovery time, the number of samples of invasive mechanical ventilation, arterial oxygen saturation, PaO2, PaCO2, times of hyperbaric oxygen, hospitalization time, efficacy. Result All observation indexs of observation group was better than controlled group(P <0.05, P <0.01). Conclusion If permissive conditiong,applied to NPPV treatment in the first time for Anchovy gas poisoning patiens. It′ smarked improve successful rescue rate, and improve patient′ s prognosis.
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