心跳呼吸骤停与复苏效果

复习1987年以来国内期刊发表的有关复苏的文献,就资料完整的1521例及我院复苏成功的6例进行分析并指出:心肺复苏既要突破4 min急救极限,又要树立骤停时间20 min仍有可能复苏的信念,但骤停时间小于4 min仍是长期存活不留后遗症的主要因素,而有效的心肺复苏则是提高复苏成功率的关键。开胸心脏按压的血流机制明显优于胸外心脏按压。大剂量肾上腺素有利于自主循环的恢复。而复苏后,积极维持有效循环的稳定有利于提高复苏成功率。

Cardiorespiratory Arrest and the Effect of Cardiopulmonary Resuscitation (CPR)

An analysis made upon a review of 1521 cases of resuscitation reported in literature at home since 1987 and 6 successful cases in our hospital indicated that cardiopulmonary resuscitation necessitates not only to break through the 4—minute—limit but should also establish the faith that successful resuscitation is possible even when cardiac arrest persists for 20 rains. The duration of arrest under 4 minutes is still a crucial factor for permanent survival without any sequelae and effective CPR is the key to increase the possibility of successful resuscitation. The mechanism of circulation in open-chest cardiac massage in apparently superior to that in closed—chest compression. A largo dose of adrenaline assists restoration of spontaneous circulation. Meanwhile, active maintenance of effective circulation aids to raise successful rate of resuscitation.