目的 HC可视喉镜在急诊抢救重症颅脑外伤伴颅底骨折患者紧急气管插管中的临床应用价值.方法 回顾性分析我院60例急诊抢救室需紧急经口气管插管的重症脑外伤伴颅底骨折患者的临床资料,其中30例患者应用可视喉镜(观察组),另外30例患者采用普通直接喉镜(对照组),比较2组患者声门暴露程度、插管时间、一次插管成功率等指标.结果 观察组声门暴露Cormark-Lehane分级Ⅰ~Ⅱ级28例(93.33%),明显高于对照组的20例(66.67%),差异有统计学意义(P<0.05);观察组平均插管时间(34.3±6.7)s,短于对照组的(44.5±5.7)s,差异有统计学意义(P<0.05);观察组一次性成功插管26例(86.67%),多于对照组的19例(63.33%),差异有统计学意义(P<0.05).结论 HC可视喉镜应用于急诊抢救重症颅脑外伤伴颅底骨折患者紧急气管插管,可以提高插管成功率,缩短插管时间,减少插管不良反应.%Objective To assess the clinical application values of HC visual laryngoscope in emergency tracheal intubation for severe craniocerebral trauma patients with basilar fracture.Methods Retrospective analysis was used to review 60 patients of severe traumatic brain injury with basilar fracture in emergency resuscitation room who needed the hospital emergency tracheal intubation.There were 30 patients operated with visual HC laryngoscope (the observation group), and the other 30 patients underwent common direct laryngoscope (the control group).The index of the degree of exposure,intubation time,success rate of intubation were compared between the two groups.ResultsThere were 28 cases (93.33%) of Cormark-Lehane grading Ⅰ to Ⅱ in observation group,which was significantly higher than 20 cases (66.67%) in the control group(P< 0.05).The average intubation time in observation group was (34.3±6.7) seconds,and it was shorter than (44.5±5.7) seconds in the control group (P<0.05).In observation group,26 cases (86.67%) were of one-time successful intubation,which was higher than 19 cases (63.33%) in the control group,and the difference was statistically significant(P<0.05).ConclusionHC visual laryngoscope in emergency tracheal intubation for severe craniocerebral trauma patients with basilar fracture can improve the success rate of intubation,shorten the intubation time,reduce adverse reactions,and it is worthy of clinical application.
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