【摘要】 目的早期识别心脏骤停的高危患者,从而有效预防。方法回顾性分析186例心脏骤停患者的病因、基础病变严重程度、心功能状况及复苏成功率。结果186例心脏骤停患者的病因以冠心病为主。随着冠脉病变严重程度增加,尤其是合并左主干或左前降支病变者,以及出现心力衰竭时,心脏骤停发生率高,复苏成功率低。结论存在严重冠脉病变的冠心病患者,尤其是合并心功能不全者,是心脏骤停的高危患者。有效的血管重建及改善心功能是预防心脏骤停的主要预防措施。更多还原

【Abstract】 Objective To early identify the highly dangerous patients tending to falling cardiac arrest and effectively prevent its occurring.Methods Analyzed 186 cardiac arrest patients’ clinical data including the cause of sad condition,the severity of underlying heart disease,the ventricular function and the successful rate of resuscitation,and preliminarily studied the treatment result of these patients.Results In these 186 patients,the main cause of cardiac arrest was coronary heart disease.And the more severe the pathological change of coronary arteria was(especially that of left main artery,left anterior descending artery accompanying ventricular dysfunction)the higher the rate of cardiac arrest oucurring was,the lower the rate of successfully resuscitation was. Conclusion The patients with severe coronary heart especially those accompanying left ventricular dysfunction are highly dangerous patients of cardiac arrest.The main prevention is coronary revacularization and ventricular function’s improving.更多还原