急诊心肺复苏72例回顾分析  

Retrospective analysis of cardiopulmonary resuscitation in the emergency department

作　　者：欧阳后华[1] 麦泉云[1] 

机构地区：[1]钦州市第二人民医院急诊科,广西535000

出　　处：《中国临床新医学》2012年第1期43-45,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨影响心肺复苏成功率的因素。方法回顾性分析急诊科进行心肺复苏72例患者的临床资料。结果成功24例,死亡48例,成功率为33.3%。其中救护车转运途中出现心搏骤停的19例患者中,成功2例,死亡17例,成功率为10.5%。性别和年龄与复苏成功率差异无统计学意义(P>0.05)。非外伤组的复苏成功率比外伤组高(P<0.05)。随着心搏骤停至急诊科开始复苏的时间延长,复苏成功率下降(P<0.01)。抢救人员数≤4人组与≥6人组复苏成功率差异有统计学意义(P<0.05)。结论非外伤患者的复苏成功率显著高于外伤患者。危重病人转运途中出现心搏骤停,复苏成功率低。早期复苏和足够的人员参与抢救可提高复苏成功率。Objective To explore the impact factors of the success rate of cardiopulmonary resuscitation. Methods Totally 72 patients were carried out cardiopulmonary resuscitation in the emergency department of our hospital. The clinical data of the patients were retrospectively analyzed. Results Twenty-four patients survived and 48 patients died,the success rate was 33.3%. During transit in an ambulance,cardiac arrest occurred in 19 patients. Of them,2 patients survived and 1＂7 patients died, the success rate was 10.5%. The success rate of gender and age group had less difference （P 〉 0.05）. The success rate of recovery of non-trauma group was higher than that of the trauma group（P 〈 0. 05 ）. With the extension of time from cardiac arrest to the beginning of recovery in the emergency department, the success rate of recovery declined（P 〈 0. 01 ）. The success rate of recovery in the group with ≥6 people was higher than that in the group with ≤4 people of rescue work（ P 〈 0. 05）. Conclusion The recovery success rate of non-trauma patients was higher than that of trauma patients. In critically ill patients with cardiac arrest in transit, recovery success rate is lower. Early recovery, adequate personnel in the rescue work can improve the success rate of resuscitation.

关 键 词：急诊科 心肺复苏 成功率 

分 类 号：R459.7[医药卫生—急诊医学]