创伤性心跳骤停预后因素分析及其对策

目的 分析创伤性心跳骤停预后因素,总结复苏成功经验。方法 应用回顾性分析方法对本院近两年来创伤性心跳骤停病人各因素和出院存活率进行分析。结果 两年来共收治创伤性心跳骤停病人74例,存活率为6.75％;院内与院外心跳骤停存活率无差别,室颤比心电静止存活率高。立即复苏组比未立即复苏组存活率高,存活组受伤至心跳骤停时间比死亡组长,存活5例在立即进行心肺复苏同时还针对病因进行手术治疗。结论 创伤性心跳骤停复苏存活率总体水平不高,心跳骤停发生地点与存活率没有明显关系,但室颤、心跳骤停发生时间晚、早期复苏、积极处理病因者存活可能性大。

Analysis of the prognosis factors and the countermeasures for trauma cardiac arrest

Objective To analyze the prognosis factors of trauma cardiac arrest (TCA) and summarize the clinical experience of successful cardiopulmonary resuscitation(CPR). Methods The outcome of TCA patients who received CPR from 2001 - 01 to 2003 - 08 and the factors during course of CPR were analyzed retrospectively. Results During past two years, there were 74 patients who received CPR, discharged survival rate was 6.75%, there was no difference in survival rate between the patients who TCA occurred in hospital and out of hospital, the survival rate of ventricular fibrillation cases was higher than that of asystole cases, the survival rate of early CPR was higher than that of later CPR. The time from trauma to TCA was longer in survival group than non survival group. Survival patients received not only CPR right away but also surgery operation for specific cause. Conclusions The overall survival rate of TCA is low, there is no relation between the site where TCA occurred and the survival rate. Ventricular fibrillation, early CPR, management of causes of TCA and TCA which took place later etc, all the factors can increase survival possibility.