ICU内心肺复苏的执行与结果分析

目的:探讨ICU内心肺复苏的执行与结果。方法:以队列研究的方式,前瞻性观察我院经培训的ICU医生实施心肺复苏的具体情况。结果:(1)心跳呼吸骤停有三种形式,以心跳骤停为主,且以室性逸搏最多。(2)均能给予人工通气,首次除颤成功率88.5%。(3)呼吸骤停组及室速 室颤组复苏成功率高(23.8%比2.9%,P<0.01;42.9%比14.5%,P<0.05),室性逸搏 等电位线组复苏成功率低(15.5比70.5%,P<0.01)。结论:ICU内心跳呼吸骤停的最多形式是室性逸搏。呼吸骤停及室速、室颤的复苏成功率高,而室性逸搏的复苏成功率低。

Analysis of execution and results of cardiopulmonary resuscitation in ICU

Objective To analyze the execution and results of cardiopulmonary resuscitation in ICU at present. Methods Cardiopulmonary resuscitation performed by trained doctors in ICU were observed prospectively in a cohort study. Results (1) The sudden arrest of cardiopulmonary had three forms. The occurring rates of cardic arrest were the highest in the three forms and the commonest form of cardic arrest was ventricular escape beats. (2) Men-made ventilation was used in all patients. The first successful difibrillation rate was 88.5%. (3) The successful rate of resuscitation was higher in the group of breath arrest (23.8% vs 2.9%, P<0.01) and in the group of ventricular tachycardia and ventricular fibrillation(42.9 vs 14.9%, P<0.05). The successful rate of resuscitation was lower in the group of ventricular escape beats(15.5 vs 70.5%, P<0.01). Conclusion The commonest form of cardic arrest is ventricular escape beats in ICU. The successful rate of resuscitation is lower in the group of ventricular escape beats.