中国药物警戒 ›› 2016, Vol. 13 ›› Issue (2): 115-118.

• 安全性评价与合理用药 • 上一篇    下一篇

32例ICU经口气管插管术后不良事件分析

程正波， 王艳， 张建， 周亚楠   

  1. 烟台市北海医院，山东 烟台 265701
  • 收稿日期:2016-03-14 修回日期:2016-03-14 出版日期:2016-02-08 发布日期:2016-03-14
  • 作者简介:程正波，男，本科，副主任医师，重症医学。

CHENG Zheng-bo, WANG Yan, ZHANG Jian, ZHOU Ya-nan

  

  • Received:2016-03-14 Revised:2016-03-14 Online:2016-02-08 Published:2016-03-14

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摘要： 目的探讨经口气管插管术后不良事件的发生率、发生原因及补救措施。方法回顾性分析2011~2013年入住ICU患者行经口气管插管术术后不良事件的发生情况及其结局。结果178例接受经口气管插管术的患者中32例后发生不良事件，其中1例发生心脏骤停经复苏成功后留有神经系统后遗症， 1例气管狭窄者放弃治疗，另1例经上级医院治疗后好转，其余29例患者经对症处理未影响治疗。结论ICU患者接受经口气管插管术后不良事件发生率较高，经积极预防与合理治疗可尽量避免不良事件发生。

关键词: ICU, 气管插管, 术后, 不良事件

Abstract: Objective To investigate the incidence, causes and remedial measures of adverse events after tracheal intubation. Methods The incidence and outcomes of adverse events of ICU inpatients after tracheal intubation from 2011 to 2013 were retrospectively analyzed.Results After tracheal intubation, there were 32 cases of adverse events, of which one case of sudden cardiac arrest leaving neurological sequelae after a successful recovery. One case gave up treatment due to tracheal stenosis, another case was improved after treatment in superior hospital, and no obvious impact on treatment outcomes was found during the left 29 cases. Conclusion The adverse event incidence of ICU inpatients was higher, and it can be prevented by active prevention and reasonable treatment.

Key words: ICU, tracheal intubation, postoperation, adverse event