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.

作　　者：涂昌弟[1] 王晓川[1] 霍开秀[1] 李复雄[1] 谭强[1] 

机构地区：[1]广东省深圳市龙岗中心医院急诊科,深圳518116

出　　处：《现代预防医学》2005年第3期257-259,共3页Modern Preventive Medicine

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。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 肾上腺素 气管插管 电击复律 

分 类 号：R654.1[医药卫生—外科学]