心脏骤停123例复苏成败的原因分析

目的:探讨心脏骤停及心肺复苏(carclio-pulmonary resuscitation,CPR)成败的原因,分析心脏骤停环境、时间、救护措施与复苏成败的关系,以进一步提高CPR的成功率.方法:对123例心脏骤停患者的临床资料,进行回顾性研究.结果:院内、外两组复苏成功率有极显著性差异(P＜0.01);心脏骤停6 min内与6 min后的CPR结果有极显著性差异(P＜0.005);先由目击者进行CPR和等待医生到场才行CPR的两组差别有统计学意义;不同的CPR措施与复苏成败关系密切.结论:要提高心脏骤停复苏成功率的关键是:①及时、准确地救护;②尽早气管插管、电除颤和脑复苏;③加强复苏知识的普及教育,呼吁社会公众的普遍参与.

Retrospective analysis of resuscitative success or failure in 123 cases with heart arrest

Objective: To discuss the success or failure causes of resuscitation in patients with heart arrest,and to analyze the relationship of circumstances and time and rescue measures and the success or failure of resuscitation,so as to enhance cardiopulmonary resuscitation(CPR) achievement ratio.Methods: Data of 123 cases with heart arrest were analyzed retrospectively.Results: Achievement ratio was significant difference between patients hospitalized and outpatient(P<0.01).The outcome of cardiopulmonary resuscitation was obvious different(P<0.005).Cardiopulmonary resuscitation achievement ratio was difference between witness first aid and waiting doctor aid.The measures of CPR had correlation to success or failure.Conclusion: The key to increase cardiopulmonary resuscitation achievement ratio are below: first,to rescue promptly and exactly;second,as early as possible to do tracheal intubation,electric defibrillation and encephalon resuscitation;third,to educate public widely and advocate them participate first aid efficiently.