院前心搏骤停患者129例的流行病学分析与急救探讨  

Epidemiological Analysis and First Aid in Pre-hospital Cardiac Patients:A Report of 129 Cases

作　　者：杨海平[1] 周丽琴[1] 李红艳[1] 武希梅[1] 

机构地区：[1]内蒙古呼和浩特市第一医院急诊科,010020

出　　处：《中国全科医学》2010年第12期1324-1326,共3页Chinese General Practice

摘　　要：目的探讨院前心搏骤停患者的流行病学特征,提高急救水平。方法回顾分析我院2006-12-30—2009-09-10院前129例心搏骤停患者的流行病学特征与急救过程。结果院前心搏骤停患者,男女比为2.4:1。以60岁以上、冬季、每日6～12时的心搏骤停患者为主,差异均有统计学意义(P<0.01)。有95.00%的第一目击者呼救反应时间在10min以上,急救车到达现场的平均时间>7min,无社区急救人员参与救治,患者最终自主循环恢复率为3.88%。结论院前心搏骤停患者病死率极高,加大对全民心肺复苏普及,开展社区急救是提高院前心搏骤停患者生存率的关键。Objective To investigate the epidemiological characteristics of pre-hospital cardiac arrest to improve its treatment.Methods.A retrospective analysis was conducted on the epidemiological characteristics and first-aid process in patients with pre-hospital cardiac arrest admitted to our hospital from 2006-12-30 to 2009-09-10.Results The male female ratio of pre-hospital cardiac arrest patients was 2.4 to 1,mainly aged〉 60 years,at 6～12 o＇clock in winter,the difference was significant （P〈0.01）.The time of calling for help of first witnesses was over 10 min,the average time of ambulance arriving at the scene was 7 min.No community emergency personnels participated in the first aid.The final spontaneous circulation of patients was 3.88%.Conclusion The mortality rate of pre-hospital cardiac arrest is extremely high.It is the key of increasing the survival rate of pre-hospital cardiac arrest patients that the popularity of cardiopulmonary resuscitation and community first-aid should be carried out.

关 键 词：心脏停搏 急救 流行病学 急救医疗服务 

分 类 号：R459.7[医药卫生—急诊医学]