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目的探讨心脏骤停患者的临床特点及救治经验,以提高急救水平,提高心肺脑复苏成功率。方法回顾性分析我科2002年至2006年院内及院外急救的52例心脏骤停患者的临床资料,初步分析急救措施与预后的关系。结果有机磷中毒者复苏成功4例(18.2%,4/22);急性心肌梗死者有3例复苏成功(37.5%,3/8);脑出血者有1例复苏成功(14.3%,1/7);电击伤者1例复苏未成功;CO中毒者有2例复苏成功(50%,2/4);不明原因心脏骤停者中有2例复苏成功(20%,2/10)。其中单采用胸外心脏按压复苏成功1例,急性心肌梗死仅给予电除颤复苏成功1例,其余均给予胸外按压同时行气管插管复苏成功10例,总复苏率为23.1%。结论心脏骤停患者抢救成功率与抢救措施是否正确、抢救开始时间是否及时、对室颤者能否早期除颤、气道通畅与气管插管时机把握、患者原发病是否可逆等因素相关。
Objective To investigate the clinical characteristics and treatment experience of patients with cardiac arrest in order to improve the level of first aid and improve the success rate of cardiopulmonary resuscitation. Methods The clinical data of 52 patients with cardiac arrest who were hospitalized and outpatient first aid from 2002 to 2006 in our department were analyzed retrospectively. The relationship between first aid measures and prognosis was analyzed preliminarily. Results The recovery of organophosphate poisoning was successful in 4 cases (18.2%, 4/22). Three cases of acute myocardial infarction were successful in resuscitation (37.5%, 3/8) and one case of intracerebral hemorrhage (14.3%, 1 / 7); 1 case of electric shock was unsuccessful resuscitation; 2 cases of CO poisoning recovered successfully (50%, 2/4); 2 cases of unexplained cardiac arrest were successful (20%, 2/10). Among them, only 1 case was successfully treated with chest compressive resuscitation alone, 1 case was successfully treated with defibrillation resuscitation only in acute myocardial infarction, and 10 cases were successfully treated with chest compressions and tracheal intubation resuscitation. The total recovery rate was 23.1%. Conclusion The success rate of rescue and rescue measures in patients with cardiac arrest are correct, and the start time of rescue is timely. It is related to the early defibrillation, the patency of airway and endotracheal intubation, and the reversibility of primary disease.