心肺复苏时紧急经静脉临时心脏起搏的临床疗效分析  

THE CLINICAL ANALYSIS OF USING EMERGENCY TRANSVENOUS CARDIAC PACING IN CARDIAOPULMONARY RESUSCITATION

作　　者：李炳流[1] 杨勇填[1] 李燕屏[1] 

机构地区：[1]广州医学院第二附属医院急诊科,510260

出　　处：《岭南急诊医学杂志》2004年第4期253-255,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的探讨应用紧急经静脉临时心脏起搏对心肺复苏(CPR)成功率及出院率的影响。方法回顾性分析院内常规组和起搏组CPR病人的临床资料。结果常规组和起搏组间年龄、性别、心肺复苏所需时间、复苏成功率及出院率在统计学上无明显差异,右颈内静脉穿刺所用时间较锁骨下静脉及股静脉耗时显著减少(P<0.05);两组循环维持时间有显著性差异(P<0.05)。结论紧急经静脉临时心脏起搏对维持循环稳定有帮助,以右颈内静脉置入更佳,但对CPR成功率及出院率的影响不大。OBJECTIVE:A REFLECT TRIAL OF EMERGENCY TRANSVENOUS CARDIAC PACING(ETCP) WAS TAKEN IN PATIENTS SUFFERED FROM CARDIAC ARREST. THE RATE OF SUCCESSFULLY RESUSCITATION AND DISCHARGE WERE OBSERVED. METHOD:PATIENTS IN THE CONTROL GROUP (N=50) RECEIVED STANDARD ADVANCED CARDIAC LIFE SUPPORT (ACLS) CARE. PATIENTS IN THE PACING GROUP (N=50) WERE TO RECEIVE ETCP IN ADDITION TO STANDARD ACLS TREATMENT; 48 PATIENTS WERE ACTUALLY PACED. THE TWO GROUPS WERE COMPARABLE IN TERMS OF AGE, SEX, MEAN TIMES TO CARDIOPULMONARY RESUSCITATION (CPR) AND THE RATE OF SUCCESSFULLY RESUSCITATION AND DISCHARGE. RESULTS:THERE WERE NOT DIFFERENCES BETWEEN TWO GROUPS. TIME OF CANNULIZATION FROM RIGHT INTERNAL JUGULAR VEIN WAS SHORTER THAN THAT FROM SUBCLAVIAN VEIN AND FEMORAL VEIN, P < 0.05. CONCLUSION:THE USE OF A TRANSCUTANEOUS PACING DEVICE IN THE ARREST SETTING WAS ASSOCIATED WITH GENERALLY LONG TIMES UNTIL PACING AND DID NOT APPRECIABLY IMPROVE OUTCOME. RIGHT INTERNAL JUGULAR VEIN CANNULIZATION IS THE BEST WAY.

关 键 词：心肺复苏 心脏起搏 疗效分析 静脉 

分 类 号：R459.7[医药卫生—急诊医学]