院外非除颤下死亡患者发病特点及复苏效果  

Hospital patients died under non-defibrillator and resuscitation disease characteristics

作　　者：刘扬[1] 李雅婧[1] 何忠杰[1] 蒋小燕[1] 

机构地区：[1]北京急救中心,北京100031

出　　处：《中国急救复苏与灾害医学杂志》2013年第10期878-880,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的分析院外非除颤下死亡患者的发病特点及经现场复苏后的效果。方法选择北京急救中心2009年1月。2011年12月1356例在院外非除颤下死亡的患者，结合2005年心肺复苏指南，并参照2010年心肺复苏指南的要求进行高质量有效的CPR及ACLS复苏后的效果回顾性分析。结果院外非除颤下死亡，高发年龄为60—79岁，男性多于女性。有明确心血管病史占33．92％，脑血管病史占30．23％，肺部疾病占9．96％，肿瘤疾病占16．89％，意外事件占4．5％，其他原因占4．5％。结论经现场急救发现如溺水、气道异物等猝死的患者复苏成功率高，但后期随访出院率低。早期呼叫、早期CPR、更完善的复苏后综合治疗对非除颤下死亡的患者康复更具有意义。Objective To analyze the pre-hospital defibrillation following death in patients with non-disease characteristics and the effects upon the scene after resuscitation. Methods The Beljing Emergency Medical Center in January 2009 to December 2011 1356 cases of non-defibrillation in the pre-hospital death in patients under the combination CPR guidelines in 2005, and with reference to the 2010 CPR guidelines for the high-quality and effective CPR and the effect of ACLS recovery retrospectively. Results The pre-hospital defibrillation under non-sudden death, high age of 60~79 years, more men than women;.33.92% had a clear history of cardiovascular disease, history of 30.23%cerebrovascular disease, 9.96% of lung disease, 16.89% of tumor diseases, accidents 4.5%, 4.5% for other reasons. Conclusion The field first aid discovery, such as drowning, airway foreign bodies such as the recovery success rate in patients with sudden death, but the low rate of post-discharge follow-up. The early call, early CPR, and better recovery of non-defibrillation under the comprehensive treatment of rehabilitation of patients with death more meaningful.

关 键 词：院外 非除颤下 死亡 复苏 

分 类 号：R714.252[医药卫生—妇产科学]