术中心跳骤停10年回顾性分析  

A review of perioperative cardiac arrest over 10 years

作　　者：黄建成[1] 卢敏[1] 季玉玲[1] 胡芸[1] 王晓军[1] 赵涛[1] 钱若筠[1] 沈开金[1] 

机构地区：[1]兰州军区乌鲁木齐总医院麻醉手术科,新疆乌鲁木齐830000

出　　处：《西北国防医学杂志》2015年第9期567-570,共4页Medical Journal of National Defending Forces in Northwest China

基　　金：兰州军区医药卫生科研基金资助项目(CLZ11JB19)

摘　　要：目的：回顾分析我院手术室10年内发生术中心跳骤停患者的医学资料,总结其发生原因和救治经验。方法：对2004-01~2013-12在本院手术室接受非心脏手术时发生心跳骤停患者的医学资料进行回顾性分析,包括病史、心跳骤停原因、心肺复苏过程以及预后。结果：共130 251例患者接受麻醉手术,术中发生心跳骤停11例（8.4/10万）,其中全麻10例,椎管内麻醉1例,1例（0.8/10万）心跳骤停主要与麻醉相关。结论：术中心跳骤停原因多样,以不可控失血、心血管疾病和迷走反射高张为主要原因,主要由麻醉引起的心跳骤停少见,及时发现、早期行心肺复苏是成功复苏的关键。Objective： To retrospectively analyze the data of patients who developed cardiac arrest（CA） during operations over 10 years so as to summarize causes and treatment experiences of CA. Methods ： The medical records of patients who developed cardiac arrest during non-cardiac surgery from January 2004 to December 2013 were reviewed, including medical history, causes of arrest, cardiopulmonary resuscitation and prognosis.Results： Among 130 251 patients received anesthesia, 11 cases developed perioperative cardiac arrest （8.4/100,000）. Among them, 10 cases received general anesthesia and 1 case received spinal anesthesia,only one of 11 cardiac arrests was primarily related to anesthesia （0.8/100,000）.Conclusion： There are diversity reasons of perioperative cardiac arrest. The main causes are cardiovascular disease, uncontrolled blood loss and excessive vagal activity.Cardiac arrest is rarely related to anesthesia. Timely detection and early cardiopulmonary resuscitation are critical for a successful recovery.

关 键 词：麻醉学 心跳骤停 心肺复苏 手术室 

分 类 号：R614[医药卫生—麻醉学]