改善心肺骤停脑复苏疗效的探讨  

Improve the Therapeutic Effect of Cerebral Resuscitation——An Analysis of Cerebral Resuscitation in 70 Cases, 131 Times of Cardiac Arrest

作　　者：丁自超[1] 王锦传[1] 

机构地区：[1]中国人民解放军总医院急诊科,北京100853

出　　处：《急诊医学》1993年第2期58-63,共6页

摘　　要：对我院心肺骤停后重建较稳定的自主心律70例脑复苏做回顾性分析。5min重建自主循环者脑苏率为84.4%,自主呼吸恢复者脑复苏率为95.8%,5min后重建循环呼吸者脑复苏率均下降(P<0.05～0.01)。首次骤停发生在现场(含急诊科)脑复苏率为34.9%,院内(含CCU)者为81.5%,出院时存活率分别为32.6%与63.0%(P<0.05～0.01)。分析了骤停前后内环境诸因素对脑复苏率的影响并提出提高脑复苏水平的措施。An analysis of cerebral resuscitation in 70 cases, 131 times of cardiac arrest was made. If spontaneous circulation reestablished≤5 min,cerebral resuscitation rate was 84. 4%; spontaneous respiration recovered≤5 min,cerebral resuscitation rate was 95. 5%. If circulation or respiration reestablished beyond 5 min cerebral resuscitation rates all decreased. (P<0. 05 — 0. 01). If the initial time of cardiac arrest occurred in the scene (including emergency room), the cerebral resuscitation rate was 34. 9%, in — hospital (including CCU)it was 81. 5%;the discharge survival rates were 32. 6% and 63. 0%respectively(P<0. 05 — 0. 01). The influence of internal environmental factors on cerebral resuscitation rates before and after cardiac arrest was analysed and measures of improving the therapeutic effect of cerebral resuscitation were also suggested.

关 键 词：心肺骤停 心肺脑复苏 脑复苏 疗效 

分 类 号：R541.78[医药卫生—心血管疾病] R605.974[医药卫生—内科学]