心脏性猝死的预警与综合防治

心脏性猝死（sudden cardiac death,SCD）从发病到死亡非常快,常发生在看似健康的人,通常又不可预测,死亡率极高,国内院外SCD生存率不到1%,最近我们对珠三角地区191.5万人口流行病学调查的结果为出院生存率2.85%,而国外先进水平可达到10%～30%。为探索适合我国院外SCD的防治措施,我们在国内最早提出提高院外心搏骤停患者复苏生存率的主要策略,包括：①院外远程生命信息（心电、呼吸、血压）监测;②对高危人群家属心肺复苏（CPR）培训;③自动体外除颤仪（automated external defibrillator,AED）进入家庭及公众启动除颤计划（public access defibrillation,PAD）;④建立新型家庭—社区—医院—120急救网络平台。

Early warning and comprehensive treatment in sudden cardiac death

Sudden cardiac death （SCD） is an emergent and unpredictable event in the so-called healthy population with a rapid deterioration and a high mortality. According to the domestic historical literature, the survival of SCD is less than 1%. In a recent epidemiological investigation on SCD victims among 1.91 million populations in Pearl River Delta Region, the survival rate is 2.85%. Nevertheless, the total survival rate abroad is much higher （10% - 30% ）. In order to explore a suitable method to improve the early warning and treatment of SCD in China, we therefore propose the intervention strategies in enhancing survival out of hospital, including remote-monitoring of vital signs （ electrocardiogram, respiratory, blood pressure） out of hospital, CPR training for potential victims of SCD and their families, public access defibrillation and household AED plan, and the establishment of enhanced family-community- hospital Emergency medical system.