【摘要】 目的:探讨紧急锁骨下静脉穿刺置管术在心肺复苏(CPR)中的临床应用价值。方法:随机将218例心肺骤停患者分为锁骨下静脉穿刺置管给复苏约组(A组)和常规外周静脉给复苏约组(B组),比较分析两组复苏效果。结果:两组在穿刺时间及一次穿刺成功率上无显著性差异(P>0.05),但A组自主循环恢复时间明显短于B组(P<0.05),初期复苏成功率和短期存活率也显著高于B组(P<0.05),肾上腺素的用量两组间比较无统计学差异(P>0.05)。结论:与常规外周静脉给复苏药比较,CPR时紧急锁骨下静脉穿刺置管中心静脉通道给药提高了初期复苏成功率,有利于后期脑复苏,该中心静脉通道的建立为CPR提供了最佳给药途径。更多还原

【Abstract】 Objective:To investigate the clinical value of rapid supraclavicular subclavian catheterization during cardiopulmonary resuscitation. Methods:218 patients with cardiac arrest were randomly divided into central and peripheral intravenous groups for drug administration. We compared the effect of two pathways for drug administration during CPR. Results:There were no significant differi-ence in time of catheterization and success rate of catheterizaiton between the two groups. The RSC time in group C was shorter and early success rate was significantly higher than that of group P. Conclusion : Supraclavicular approach to subclavian catheterization for drug administration increased the success rate of CPR at an early stage and proves beneficial to cerebral resuscitation. It will provide the best pathway for drug administration during CPR.更多还原