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院内心肺复苏成败影响因素的回顾性分析

THE RETROSPECTIVE ANALYSIS OF THE INFLUENCE FACTORS OF CARDIOPULMONA RY RESUSCITATION IN HOSPITAL.

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【作者】 涂昌弟王晓川霍开秀李复雄谭强

【Author】 TU Chang-di, WANG Xiao-chuan, CHEN Wei-qun, et al.Emergency Department of Longgang Central Hospital,Shenzhen,518116.

【机构】 广东省深圳市龙岗中心医院急诊科广东省深圳市龙岗中心医院急诊科 深圳518116深圳518116

【摘要】 目的 :分析影响院内心肺复苏 (CPR)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2 86例实施院内心肺复苏的心跳呼吸骤停患者进行回顾性分析。结果 :心肺复苏成功率及出院存活率分别为 5 3 .8%和9 .4 % ;心跳呼吸骤停 10min以内的患者经积极有效的CPR、气管插管、电击复律能大大提高复苏成功率差异均有显著性 ,P <0 . 0 1;大剂量肾上腺素的应用虽能提高初期心肺复苏成功率 ,但对后期复苏及提高存活率并无帮助。结论 :及早CPR、及早气管插管、及早电击复律和合理应用肾上腺素是心肺复苏成功的关键。

【Abstract】 Objective:To analyse the related factors which influen ced the success of cardiopulmonary resuscitation(CPR) in hospital and explore the effective me thods of increasing the success rate of cardiopulmonary resuscitation.M ethods:The influence factors of cardiopulmonary resuscitation in hospital were analysed retrospectively for 286 cases of patients with cardiac arrest an d apnea.Res ults:Th e success rate and the survival rate of cardiopulmonary resuscitation are 53.8% and 9.4% respectively;the success rate of cardiopulmonary resuscitation of the p atients which got cardiac arrest and apnea in 10 minutes can be greatly increase d through the active and effective CPR,trachea intubatton and electroversion;the application of high dose adrenalin can increase the success rate of cardiopulmo nary resuscitation in the initial stage,but it is no use in increasing the surv iva l rate in the anaphase of CPR.Conclusion:It is very important tha t early CPR, early trachea intubatton,early electroversion and reasonable application of adre nalin can increase the success rate of cardiopulmonary resuscitation .

【关键词】 心搏骤停心肺复苏
【Key words】 Cardiac arrestCardiopulmonary resuscitation
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2005年03期
  • 【分类号】R459.7
  • 【被引频次】12
  • 【下载频次】152
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