To solve the problem of low control accuracy of the tidal volume emergency ventilation for lower air pressure at high altitudes, we propose a dual-loop PID tidal volume control system, which utilizes a pressure-compensated PID controller to adjust fan speed, supplemented by an integral-separate PID controller in order to achieve precise control of airflow velocity.Compared with single-loop PID control, the rapid response and no overshooting are observed in the performance tests of the dual-loop control system at an altitude of 4 370 m and atmospheric pressure of 59 kPa, in addition, the output error of the average airflow velocity decrease to 3.19% (the maximum error is 4.1%), which is superior to that of current clinical equipment. Our work offers an effective solution for high-altitude emergency ventilator tidal volume control, and contributes important insights to the development of ventilation control technology in special environments.