院前猝死流行病学研究与心肺复苏效果分析  

Epidemiological Information Research of Prehospital Sudden Death Characteristics and Clinical Analysis of CPR

作　　者：张权孝[1,2] 周勇[1,2] 侯春风[1,2] 

机构地区：[1]大庆油田总医院集团龙南医院 [2]齐齐哈尔医学院附属第五医院,黑龙江大庆163453

出　　处：《黑龙江医学》2013年第7期537-539,共3页Heilongjiang Medical Journal

摘　　要：目的系统分析我院340例院前猝死事件发生的流行病学特点与影响院前急救成败因素,探讨降低院前猝死事件发生率的办法。方法参照Utstein模式回顾我院2008-05～2011-05间院前急诊猝死病例340例的临床资料。分析患者发病时的年龄、性别、死因、死亡时间、场地、生活习惯及现场心电图等表现。结果院前发生猝死病例340例,男性患者270例、女性患者70例,男女比例3.86∶1;平均年龄61.7岁,且75.00%发生在家中,现场心电图多为心脏停搏;猝死的高发年龄段有2个:40～59岁(90例占26.47%)和60～79岁(160例占47.06%)。发生猝死病例中,既往有明确心脑血管病史者170例(50.00%);不明原因者40例(11.76%);意外死亡者35例(10.29%)。结论院前猝死应引起全社会的广泛关注及重视,加快普及现场第一目击者行心肺复苏(CPR)意识及技能,政府及相关部门应定期组织、督导所属单位人员积极参加这种演练。急诊专业人员及时到现场除颤及对症治疗可提高院外猝死复苏的成功率。Objective To systematically analyze 350 cases of sudden cardiac death happened before the epidemiological characteristics and the influence factors first-aid success or failure,and study how to reduce the incidence of sudden cardiac death before the court.Methods With reference to Utstein mode retrospective in May 2008 to May 2011 first-aid emergency of the 340 cases of patients with clinical data of sudden cardiac dead,analyzing the age,gender,death cause,death time,place,habbits and the electrocar diogram of the patients.Results 340 sudden cardiac death happen prehospital,including 270 male patients,70 female patients,with the ratio 3.86∶ 1;Average age is 61.7 years old,and the 3 /4 occurred at home(75%).Live ECG represents cardiac arrest and sudden death;The high risk age is 2,including 90 cases 40 ～ 59 years old(26.47%) and 160 cases 60 ～ 79 years old(47.05%).Among the occurrence of sudden death cases,170 cases have a clear history of cerebrovascular disease(50%);40 cases have unknown reasons(11.76%);35 cases are in accident death(10.29%).Conclusion Prehospital sudden death should cause the extensive concern of the whole society and attention,speed up the popularization of the first eyewitness cardiopulmonary resuscitation(CPR) awareness and skills.Governments and relevant departments should organize,supervise subordinate unit personnel to participate actively in this walkthrough.Emergency professionals in a timely manner to the site of defibrillation and symptomatic treatment can improve the success rate of resuscitation.

关 键 词：院前猝死 发病特点 流行病学研究 心肺复苏 

分 类 号：R181.3[医药卫生—流行病学]