心肺脑复苏35例临床分析

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目的总结分析1996年以来心肺脑复苏病人35例,探索复苏下血液循环时间对救治成功的影响。方法对35例心跳骤停经心肺脑复苏成功、自主循环恢复并能维持的患者,收入ICU病房继续治疗,并对抢救资料进行回顾性分析。结果35例心肺脑成功复苏患者中,24例完全康复出院,8例因脑部原发性疾病尚有不同程度的中枢神经系统后遗症,3例呈植物人状态。结论心肺脑复苏自主循环恢复后患者的病死率仍高,影响预后的因素包括复苏时间、基础疾病、自主循环恢复时间、给药途径及用药间隔、复苏后综合征等。 Objective To summarize and analyze 35 cases of cardiopulmonary resuscitation patients since 1996 and explore the influence of blood circulation time on the successful treatment after resuscitation. Methods A total of 35 patients with cardiopulmonary arrest who had cardiopulmonary resuscitation success, spontaneous circulation recovery and maintenance were enrolled in ICU ward for further treatment, and the rescue data were retrospectively analyzed. Results Of the 35 patients with cardiopulmonary and cerebral resuscitation, 24 were completely recovered and discharged, 8 had central nervous system sequela due to different degrees of primary brain disease, and 3 showed vegetative state. Conclusions The mortality of patients with cardiopulmonary resuscitation after spontaneous circulation recovery is still high. The prognostic factors include recovery time, underlying diseases, recovery time of spontaneous circulation, route of administration and interval of medication, post-recovery syndrome and so on.
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