【摘要】 目的 研究鼻插管、气管切开在重度脑外伤呼吸衰竭患者的应用效果。 方法 对53例重度脑外伤伴呼吸衰竭患者随机分组 ,30例行经鼻气管插管 ,23例行气管切开 ,观察血气、置管时间、肺部感染情况。 结果 鼻插管在血气改善时间、治疗前后血气变化与气管切开相似 ,并有置管时间短、肺部感染轻、并发症少等优点。结论 对于重度脑外伤呼吸衰竭患者 ,鼻插管术较气管切开术有更好的临床应用价值。更多还原

【Abstract】 Objective To explore the clinic effect of nasotracheal intubation and tracheotomy in patient with repiratory failure by severe cerebral trauma. Methods 53 patients with respiratory faillure by severe cerebral trauma were divided randomly into two groups. 30 cases were treated with nasotracheal intubation, while 23 cases were treated with tracheotomy, the clinic feature such as blood gas,placing-tube time and pulmonary infection were observed in two groups. Results There were similar characteristics of blood gas improvement time and change of blood gas before and after treatment between two groups. However nasotracheal intubation had some virtues such as short placing-tube time, slight pulmonary infection and few complications compared with tracheotomy. Conclusion Nasotracheal intubation has the better clinic application Worth compared with tracheotomy in patient with respiratory failure by severe cerebral trauma.更多还原