心肺复苏28例临床分析  

Cardiopulmonary resuscitation: analysis of 28 cases

作　　者：周建峰[1] 庄彩萍[2] 孙秀明[3] 胡晓民[1] 王国辉[1] 王钟[4] 

机构地区：[1]解放军第414医院胸外科,江苏南京210015 [2]解放军第414医院骨科,江苏南京210015 [3]解放军第414医院呼吸内科,江苏南京210015 [4]解放军第414医院肾内科,江苏南京210015

出　　处：《南京军医学院学报》2003年第1期21-22,共2页Journal of Nanjing Military Medical College

摘　　要：目的 :强调心肺复苏程序性工作的重要性和机械通气在复苏后续治疗中的必要性。方法 :2 8例病人 ,男 19例 ,女 9例 ,年龄 (4 9± 13)岁。按A、B、C、D的复苏步骤进行急救 ,气管插管由管床或首诊医生执行 ,插管后迅速行机械通气加PEEP ,PEEP(11± 4 5 )cmH2 O。迅速建立静脉通道后 ,首先输注 5 %NaHCO3 ,而肾上腺素用量达 (32± 11)mg ,平均除颤 3次。自主呼吸平稳后尽早高压氧治疗。结果 :2 8例病人存活 2 0例 ,5例自动放弃后续治疗 ,3例死亡。结论 :用机械通气维持病人良好的呼吸状态 ,及时有效纠正酸中毒 ,适时。Objective:To stress the importance of the working procedure during cardiopulmonary resuscitation and the necessity of the mechanical ventilation in the continuous treatment after the resuscitation. Methods:There were 28 cases in this series, 9 women and 19 men with a mean age of 49±13 years. The first aid was performed according to the resuscitation steps of A, B, C and D. The tracheal cannula was operated by the residents or primary care doctors. The mechanical ventilation and positive end expiratory pressure (PEEP) were used immediately after tracheal cannula. PEEP was 11±4.5 cmH 2O. After establishing the venous transfusion, 5% NaHCO 3 was input first, the dosage of epinephrine reached 32±11mg. The average defibrillation was 3 times. When the patients' autonomous respiration became stable, the hyperbaric oxygen should be applied as soon as possible. Results :Of the 28 patients, 20 survived, five abandoned the following treatment after the resuscitation and 3 died. Conclusion:It is very important to maintain patients' mechanical ventilation in a good respiratory status, correct their acidosis promptly and effectively, give them the right vasoactive drug with right dosage, and defibrillate them promptly and effectively.

关 键 词：心肺复苏 临床分析 急救 机械通气 呼气末正压通气 

分 类 号：R605.974[医药卫生—急诊医学]