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emergent tracheostomy
相关语句
  紧急气管切开
     Clinical study on the comparison of prophylactic with emergent tracheostomy after inhalation injury
     吸入性损伤后预防性气管切开与紧急气管切开的临床研究
短句来源
     The patients with obvious dyspnea, low oxygen pressure and decreased oxygen saturation before the operation were set to be emergent tracheostomy group (ET, n=21), while those without dysfunction of ventilation and gas exchange, as prophylactic group (PT, n=72).
     气管切开前出现明显呼吸困难、血氧分压下降、血氧饱和度下降者为紧急气管切开组 (2 1例 ) ; 气管切开前未出现明显通气、换气障碍者为预防性气管切开组 (72例 )。
短句来源
  “emergent tracheostomy”译为未确定词的双语例句
     Objective To discuss the opportunity selection of emergent tracheostomy in the patients with severe craniocerebral injury.
     目的探讨重型颅脑损伤后急诊气管切开的时机。
短句来源
     The patients (Group A, n=39) underwent ultra-early emergent tracheostomy within two hours, and the other patients (Group B, n=50) didn’t receive ultra-early emergent tracheostomy or underwent delayed tracheostomy (≥2 hours).
     50例未行急诊超早期气管切开或延迟行气管切开(时间>2h)。
短句来源
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     Innovation is Emergent
     IC产品创新当务之急
短句来源
     Clinical study on the comparison of prophylactic with emergent tracheostomy after inhalation injury
     吸入性损伤后预防性气管切开与紧急气管切开的临床研究
短句来源
     Objective To discuss the opportunity selection of emergent tracheostomy in the patients with severe craniocerebral injury.
     目的探讨重型颅脑损伤后急诊气管切开的时机。
短句来源
     Percutaneous dilational tracheostomy
     经皮旋转扩张气管切开术
短句来源
     On Emergent Public Events
     论突发公共事件
短句来源
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  emergent tracheostomy
The patient was manually ventilated instead of mechanically while an emergent tracheostomy was performed to forestall upper airway obstruction.
      
In one patient, PTJV maintained adequate gas exchange until an emergent tracheostomy was performed.
      


objective. To summarize the experience of the emergent treatment of anaphylaxis and anaphylactoid reaction of the respiratory system in human. Methods.Two patients with anaphylaxis and one with anaphylactoid reaction of the respiratory system in recent 4 years were retrospectively analysed and the keys of success and fail were discussed in detail. Results. The emergent treatment were successful in 2 cases and failed in one. Conclusions. There are two patterns of anaphylaxis in respiratory system.The first one...

objective. To summarize the experience of the emergent treatment of anaphylaxis and anaphylactoid reaction of the respiratory system in human. Methods.Two patients with anaphylaxis and one with anaphylactoid reaction of the respiratory system in recent 4 years were retrospectively analysed and the keys of success and fail were discussed in detail. Results. The emergent treatment were successful in 2 cases and failed in one. Conclusions. There are two patterns of anaphylaxis in respiratory system.The first one is upper airway abstruction owing to edema of the larynx and/or epiglottis,which can cause acute distress and death. The second one involves in diffusive lower airway bronch constriction in which air flow limitation can not be relieved by endotracheal intubation and may lead to lethal abnormalities of pulmonary gas exchange. These three cases belonged to the second pattern. Solution of epinephrine should administrated subcutaneously as soon as anaphylaxis was diagnosed. Severe laryngeal and/or epiglottic edema reguired either endotracheal intubation or an emergent tracheostomy to facilitate ventilation. Inhalation of β-2 sympathominetics or intraveneous aminophylline was need ed in the diffusive bronchospasm as well as enough oxygen supply and clearence of secre tion in hypopharynx and trachea. It should be pointed out emphatically that the aspirator and instruments for endotracheal intubation and tracheostomy should be always prepared in the allergic test room and injection room.

目的:总结呼吸系统过敏反应急救的经验。方法:回顾2例呼吸系统过敏反应和1例类过敏反应抢救的过程,分析成功和失败的原因。结果:本组3例中2例抢救成功,1例死亡。结论:呼吸系统过敏反应发病突然,发展很快。其分二种类型:上气道梗阻和下气道弥漫性支气管痉挛,抢救措施有很大差别。首先要皮下注射肾上腺素。上气道梗阻要作气管插管或紧急气管切开,保证通气。第二种类型则吸入β-2拟交感神经药物,或注射氨茶碱,并吸氧;呼吸道分泌物及时有效的清除尤为重要,否则,瞬间肺的气体交换被完全阻断。强调变应原试验室和常规注射室除准备必要的抢救药物外,还应准备吸痰器、气管插管和气管切开等器械。

Objective To compare prophylactic with emergent tracheostomy in 93 patients with inhalation injury, so as to explore the clinical significance of prophylactic tracheostomy. Methods Tracheostomy was applied in all patients with moderate and severe inhalation injury. The patients with obvious dyspnea, low oxygen pressure and decreased oxygen saturation before the operation were set to be emergent tracheostomy group (ET, n=21), while those without dysfunction of ventilation and gas exchange,...

Objective To compare prophylactic with emergent tracheostomy in 93 patients with inhalation injury, so as to explore the clinical significance of prophylactic tracheostomy. Methods Tracheostomy was applied in all patients with moderate and severe inhalation injury. The patients with obvious dyspnea, low oxygen pressure and decreased oxygen saturation before the operation were set to be emergent tracheostomy group (ET, n=21), while those without dysfunction of ventilation and gas exchange, as prophylactic group (PT, n=72). The average operation starting time was 4.31 ±3.04PBH and 34.47±2.79PBH in PT and ET groups, respectively. Results There were evident decrease of blood oxygen pressure and oxygen saturation and increase of respiratory and heart rates before the tracheostomy in ET group, but all these signs improved after the operation. In contrary, the vital signs in PT group exhibited stable perioperatively. Assisted respiration with respirator was applied in 20 cases(95.24%) in ET and in 65 cases (90.28%) in PT groups within 2 post-operative days(POD).Conclusion Early and prophylactic tracheostomy should be advocated in patients suspected to be with moderate or severe inhalation injury. Emergent tracheostomy must be avoided and respiratory assistance should be employed as early as possible. [

目的 探讨预防性气管切开的临床可行性。 方法 对 93例中度或重度吸入性损伤患者均行气管切开。气管切开前出现明显呼吸困难、血氧分压下降、血氧饱和度下降者为紧急气管切开组 (2 1例 ) ;气管切开前未出现明显通气、换气障碍者为预防性气管切开组 (72例 )。预防性气管切开组实施手术时间为伤后 (4 .31± 3.0 4 )h ,紧急气管切开组为伤后 (34.4 7± 2 .79)h。比较两组患者相关生命体征、血氧分压、氧饱和度、呼吸频率及呼吸机使用情况。 结果 紧急气管切开组血氧分压、血氧饱和度、呼吸频率、心率等术前均有明显的异常 ,术后得到显著改善 ,而预防性气管切开组相关生命体征较平稳。紧急气管切开组术后 2d内 2 0例使用呼吸机辅助呼吸 (95 .2 4 % )。预防性气管切开组术后 2d内 6 5例使用呼吸机辅助呼吸 (90 .2 8% )。 结论 对疑有中度以上吸入性损伤的患者应及早行预防性气管切开 ,尽量避免紧急气管切开。气管切开后建议早期使用呼吸机辅助呼吸。

Objective To discuss the opportunity selection of emergent tracheostomy in the patients with severe craniocerebral injury. MethodsThe recorded data of 89 patients with severe traumatic brain injury were divided into two groups and retrospectively analyzed. The patients (Group A, n=39) underwent ultra-early emergent tracheostomy within two hours, and the other patients (Group B, n=50) didn’t receive ultra-early emergent tracheostomy or underwent delayed tracheostomy (≥2 hours). The rates...

Objective To discuss the opportunity selection of emergent tracheostomy in the patients with severe craniocerebral injury. MethodsThe recorded data of 89 patients with severe traumatic brain injury were divided into two groups and retrospectively analyzed. The patients (Group A, n=39) underwent ultra-early emergent tracheostomy within two hours, and the other patients (Group B, n=50) didn’t receive ultra-early emergent tracheostomy or underwent delayed tracheostomy (≥2 hours). The rates of fatality and pulmonary infection were compared between the two groups. ResultsAs a result, nine patients in Group A and 24 in Group B died, their difference in fatality rate was significant (P<0.05), and six patients in Group A and 21 in Group B suffered pulmonary infection, their difference was also significant (P<0.05).ConclusionIf the patients with severe traumatic brain injury have one of the abnormal conditions such as coma without consciousness recently, overmuch sputum or obstruction in respiratory tract and multiple injuries, early emergent tracheostomy should be performed and intensive care should be conducted so as that their pulmonary infectious complication can be decreased and their cure rate and survival rate can be increased significantly.

目的探讨重型颅脑损伤后急诊气管切开的时机。方法回顾分析我科89例重型颅脑损伤病例,其中39例行超早期急诊气管切开(时间≤2h);50例未行急诊超早期气管切开或延迟行气管切开(时间>2h)。比较两者的病死率及肺部感染发生率。结果39例超早期急诊气管切开者死亡9例,肺部感染6例;50例延迟气管切开者死亡24例,肺部感染21例。两者比较均有显著性差异(P<0.05)。结论对重型颅脑损伤患者估计近期不能清醒、呼吸道有梗阻、肺部痰多不易排出及合并多发伤者早期急诊气管切开,可减少肺部感染,提高治愈率和生存率。

 
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