57例急诊心肺复苏临床分析  

Emergency cardiopulmonary resuscitation:clinical analysis of 57 cases

作　　者：杨勇填[1] 林珮仪[1] 江慧琳[1] 刘国斌[1] 

机构地区：[1]广州医学院第二附属医院急诊科,广东广州510260

出　　处：《广州医学院学报》2013年第2期109-110,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨影响急诊心肺复苏(CPR)成功率的相关因素。方法:回顾性分析2008年1月至2011年12月广州医学院第二附属医院收治的57例心跳呼吸骤停患者的临床资料。结果:57例患者中CPR失败40例、成功17例,成功率为30%。36例院内心跳呼吸骤停患者中CPR成功15例,成功率为42%;21例院前心跳呼吸骤停患者中CPR成功2例,成功率为10%。37例CPR开始时间≤6 min者中成功15例,成功率为41%;20例CPR开始时间>6 min者中成功2例,成功率为10%。院内CPR成功率高于院前(P<0.05);CPR开始时间≤6 min成功率高于>6 min者(P<0.05)。结论:CPR开始时间及复苏地点是影响成败率的关键因素。Objective： To study the factors contributing to success of emergency cardiopulmonary resuscitation （CPR）. Methods： We did a retrospective analysis on the clinical profiles of 57 patients with cardiac and respiratory arrest who were admitted to the Second Affiliated Hospital of Guangzhou Medical College between January 2008 and December 2011. Results： Of 57 patients analyzed, CPR failed in 40 cases and succeeded in 17 cases, corresponding to a rate of success of 30%. Of 36 patients with cardiac and respiratory arrest who received CPR in the hospital, 15 succeeded （42%）. These figures were 2 （ 10% ） in 21 patients who were treated with CPR prior to admission, 15 （41%） in 37 patients whose CPR commenced within 6 rain and 2 （10%） in 20 patients whose CPR commenced following 6 min. In-patients yielded a higher rate of success of CPR than those prior to admission （P 〈 0.05 ）. Patients who were treated with CPR within 6 rain had a high rate of success than those not （ P 〈 0.05 ）. Conclusion ： The time of commencement and the location of resuscitation were critical factors associated with success of CPR.

关 键 词：心跳呼吸骤停 心肺复苏 影响因素 

分 类 号：R459.7[医药卫生—急诊医学]