52例心跳骤停抢救经验总结和回顾性分析  

The Summary and retrospective analysis of cardiopulmonary resuscitation in treatment of 52 patients of cardiac arrest

作　　者：郭焱雄[1] 刘翼[1] 谭昌时[1] 何德剑[1] 廖玉峰[1] 乐冬友[1] 徐自强[1] 

机构地区：[1]郴州市第一人民医院急诊科,湖南郴州423000

出　　处：《四川医学》2009年第10期1627-1628,共2页Sichuan Medical Journal

摘　　要：目的了解心肺复苏的现状,总结抢救经验,探索如何提高心肺脑复苏的水平。方法回顾性分析2005年7月-2007年7月我科52例心跳骤停患者的临床资料,初步分析心跳停止到心肺复苏间隔（TCA）时间,原发病因与抢救成功率的关系。结果TCA〈5min者CPR成功率40%、存活率16.7%;TCA5-10min者CPR成功率33.3%、存活率6.7%;TCA10~15min者CPR成功率28.59%、存活率为0。无心脏基础疾病的药物中毒者抢救存活率相对较高,心源性骤死者难以抢救。结论心跳骤停患者抢救成功与否与心脏停搏时间、原发病是否可逆、抢救人员专业水平、抢救措施等因素密切相关。Objective To study the status of cardiopulmonary resuscitation（ CPR）, and to analyze the resuscitation experience of cardiac arrest patients, and to explore ways to improve the success rate of CPR and cerebral resuscitation Methods A retrospective analysis of 52 cardiac arrest patients resuscitation in our department from July 2005 to July 2007 were carried out. Results The success rate of CPR patients with CA time （TCA）〈5min, TCA5 - 10min and TCA〉 10min were40%, 33.3% and 28. 59% ,survical rate were 16.7% ,6.7% and zero. The CPR success rate was related with primary disease. Conclusion The success rate in resuscitatiny cardiac arrest cases is closely related with the CA time,the rescuer＇s spill,the method of rescue and the primary diseases of patients.

关 键 词：心跳骤停 心肺脑复苏 急救 

分 类 号：R541.78[医药卫生—心血管疾病]