Objective:To explore the value of laryngeal mask in the pre-hospital first aid rescue breathing cardiac arrest patients.Methods:Randomly divided 53 cases of patients with cardiac arrest into the observation group(27 cases) and the control group(26 cases),there respectively applied laryngeal mask and tracheal intubation for ventilation.Compared between two groups in terms of the success rate of trachea intubation in one time、the operating time and success rate of recovery.Results:The success rate of trachea intubation in one time and recovery of observation group in the first aid process was significantly higher the control group,the operating time was significantly shorter than the control group,the differences were statistically significant(P0.05).Conclusion:In pre-hospital emergency,compared with endotracheal intubation,using of laryngeal mask airway is safer and more effective,with the advantages of easy operation,rapid,high success rate,etc.
Objective To sum up clinical experience on closed abdomen trauma and raise its treating level.Methods Carry on retrospective analysis on the 158 cases of closed abdomen trauma accepted by our hospital during January 1993 to December 2003.Results Diagnostic puncture positive rate was 98.2%,while ultrasonic diagnosis positive rate was 97% and that of computerized tomography was 92%.In the 158 cases,those with one viscera damage were 100,those with two damages were 40,and with three or more damages were 18.57 cases were complicated by brain trauma,chest trauma and frequent fracture.150 cases were treated by operative treatment with 13 deaths after operation,whose reasons were extensive contusion and laceration of brain,brain stem damage,formation of brain hernia,contusion and laceration of both lungs or acute renal failure.Conclusion Comprehensive diagnosis shall be taken for patients of closed abdomen trauma with early diagnosis and treatment required;Choosing suitable operation according to the circumstance of the patient can effectively decrease complication and death rate.
