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目的比较T-piece复苏器与自动充气式气囊在需气管插管的危重新生儿转运中的应用效果。方法回顾性分析2012—2014年清华大学第一附属医院转运中需气管插管危重患儿79例,依据气管插管后连接设备的不同分成T-piece组37例和自动充气式气囊组42例。T-piece组于气管插管后连接T-piece复苏器和氧源;自动充气式气囊组于气管插管后连接自动充气式气囊和氧源。观察所有患儿疾病分布及转归情况,比较两组患儿血气分析指标〔p H值、二氧化碳分压(PCO2)和氧分压(PO2)〕、上机时间、多器官功能损害发生率及转归情况。结果两组患儿p H值、PCO2、PO2、上机时间比较,差异无统计学意义(P>0.05)。T-piece组患儿多器官功能损害发生率低于自动充气式气囊组,差异有统计学意义(P<0.05)。结论 T-piece复苏器与自动充气式气囊在改善通气方面效果相当,但T-piece复苏器多器官功能损害发生率低,在危重新生儿转运中具有优势。
Objective To compare the effect of T-piece resuscitator and auto-inflating balloon in critical neonatal transit requiring endotracheal intubation. Methods A retrospective analysis of 79 cases of critically ill children undergoing tracheal intubation in the First Affiliated Hospital of Tsinghua University from 2012 to 2014 was conducted and divided into 37 cases of T-piece group and 42 cases of auto-inflating balloon group . The T-piece group was connected to the T-piece resuscitator and oxygen source after intubation; the auto-inflating balloon group was connected to the auto-inflated balloon and the oxygen source after intubation. All children were observed for disease distribution and prognosis. Blood gas analysis indexes (p H, PCO2 and PO2), the time of on-boarding, the incidence of multiple organ dysfunction and Go to the situation. Results There was no significant difference in p H value, PCO2, PO2, and on-machine time between the two groups (P> 0.05). The incidence of multiple organ dysfunction in children with T-piece was significantly lower than that of patients with automatic inflation (P <0.05). Conclusions T-piece resuscitator and self-inflating balloon have the same effect in improving ventilation. However, T-piece resuscitator has low incidence of multiple organ dysfunction and has advantages in the transport of critically ill neonates.