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氨茶碱在肾上腺素无效心脏骤停患者中应用的临床研究

Clinical Study of Aminophylline on the Treatment of Cardiac Arrest Patients Who are Invalid with Epinephrine

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【作者】 董林蒋骏

【Author】 Dong Lin (Department of Emergency of Taixing People’s Hospital,Taixing, Jiangsu,225400,China)

【机构】 泰兴市人民医院急诊中心泰兴市人民医院急诊中心 江苏泰兴225400江苏泰兴225400

【摘要】 目的:探讨氨茶碱在肾上腺素无效心脏骤停患者中的疗效。方法:46例心脏骤停患者随机分为两组,实验组(A组)20例心脏骤停患者心肺复苏时给予氨茶碱和肾上腺素联合用药,对照组(B组)26例心脏骤停患者心肺复苏时单用肾上腺素,其它复苏用药两组相同。比较两组患者的心电活动和自主循环恢复情况。结果:A组恢复心电活动16例(80%),B组恢复心电活动12例(46.15%),具有显著性差异(P<0.05);A组恢复自主循环15例(75%),B组恢复自主循环11例(42.3%),具有显著性差异(P<0.05)。结论:氨茶碱作为肾上腺素无效的心脏骤停患者的辅助用药可促进心电活动和自主循环的恢复。

【Abstract】 Objective:To study the clinical effect of aminophylline on the treatment of cardiac arrest patients who are invalid with epinephrine. Methods:Forty-six cardiac arrest patients were randomly divided into two groups. Cardiac electrical activity, spontaneous of 20 patients received intravenous epinephrine and aminophylline compared with other 26 cases received only epinephrine. Results:Sixteen cases (80%) in the experimental group and 12(46.15%) in the compared group recovered electrical activity of cardiac. Fifteen cases (75%) in the experimental group recovered spontaneous circulation compared to 11 cases (42.3%) in the compared group. The results were significant different(P<0.05). Conclusion:The results suggested that aminophylline can promote the recovery of electrical activity and spontaneous circulation as the assistant drugs of cardiac arrest patients who are invalid with epinephrine.

【关键词】 心脏骤停肾上腺素氨茶碱
【Key words】 sudden cardiacepinephrineaminophylline
  • 【文献出处】 实用临床医学 ,Practical Clinical Medicine , 编辑部邮箱 ,2006年10期
  • 【分类号】R541.78
  • 【下载频次】33
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