摘要
目的为了解我院心肺复苏(CPR)现状,分析影响心肺复苏成败的相关因素,探讨提高心肺复苏成功率的有效方法。方法对本院2002至2008年6年来记录完整的686例患者CPR资料进行回顾性研究。对疾病种类、CPR开始时间、复苏药物、电击除颤、气管插管、心肺复苏成功率及脑复苏成功率等数据进行统计与分析。结果创伤后CPR病例数量居首位;心脏停搏时间大于10min者CPR成功率明显低于10min内开始CPR者(P<0.05);322例复苏成功,CPR成功率为44.02%,24h生存率12.2%,脑复苏成功率仅5.4%;CPR成功率与心脏停搏时间、有无气管插管接呼吸机、有无早期电除颤等有关。结论CPR成功率较低,脑复苏成功率则极低,早期生命支持"生存链"未得到切实应用;尽早识别心跳骤停、及早CPR、及早气管插管和及早电击复律是心肺复苏成功的关键。
Objective To study the status of cardiopulmonary resuscitation （CPR） in the past 6 years, analyze the related factors which influenced the success of cardiopulmonary resuscitation （CPR） and explore the effective methods of increasing the successive rate of cardiopulmonary resuscitation. Methods A retrospective study was carried out in 686 CPR patients from 2002 to 2008. Disease categories, CPR related time, recovery drug, electroversion, trachea intubatton, CPR success rate and cerebral resuscitation rate were analyzed by statistical software. Results Most of the CPR occurred after trauma. The successive rate of CPR patients with CA time （Tca） 〉10 rain were less than those Tca〈10 min. The total CPR successive rate was 44.02%, survival rate after 24 hours was 12.2%, and cerebral resuscitation rate was only 5.4%. The CPR successive rate was related with the CA time, trachea intubatton with breathing machine and early eleetroversion. Conclusion The CPR successive rate is poor, especially cerebral resuscitation. The main reason is that the ＂survival chain＂ of basic life support hasn＇t been applied completely. It is very important that early distinguish cardiac arrest, early CPR, early trachea intubatton and early electroversion can increase the successive rate of cardiopulmonary resuscitation.
出处
《热带医学杂志》
CAS
2009年第3期297-300,共4页
Journal of Tropical Medicine
关键词
心脏骤停
心肺复苏
cardiac arrest
cardiopulmonary resuscitation
作者简介
徐少华，主治医师。
