急诊科心肺复苏结果的5年回顾

目的　分析急诊科心搏、呼吸骤停的常见病因及心肺复苏 (CPR)患者的复苏成功率、存活率以及影响复苏成功患者预后的相关因素。方法　对CPR患者的临床资料进行回顾性分析。结果　 5年来行CPR 114例 ,平均年龄4 9 .30岁 ,复苏成功 5 2例 (45 .6 % ) ,9例 (7.9% )存活出院。发生心搏骤停的常见病因分别为严重创伤 35例 ,心脑血管病 34例 ,电击伤 5例 ,有机磷农药中毒 5例。CPR成功与未成功者在病因构成分布及CPR持续时间上有明显差别 ;在性别、年龄、发生心搏骤停至开始CPR时间方面均无差别。结论　严重创伤、心脑血管疾病是急诊科心跳呼吸停止的主要原因 ;发生心搏、呼吸骤停的病因构成分布及CPR持续的时间是影响急诊科CPR成功率及患者预后的两项重要因素

Retrospective study of cardiopulmonary resuscitations in an emergency department

Objective To report (1)the common etiological factor of cardiaorespiratory arrest and the survival rate and outcome after cardiopulmonary resuscitation in emergency department.(2)the relative factor associated with the prognosis after successful CPR.Methods All the clinical data of the patients underwent CPR in a department emergency from December 1998 to November 2003 were analyzed retrospectively.Results 114 CPR records were reviewed during 5 years; patient mean age was 49.30 years. Although 52(45.6%) patients were initially resuscitated, only 9(7.9%) ultimately survived to hospital discharge. The common etiological factor of cardiac arrest were severe wound (35 cases),cardiovascular-cerebrovascular disease (34 cases), electric injury (5 cases), Organophosphate poisoning (5 cases). The patients who were successfully resuscitated were different from the patients who were not successfully resuscitated in duration of CPR, but gender, age were similar among them.Conclusion The main reasons of cardiorespiratory arrest in emergency department are severe wound and cardiovascular-cerebrovascular disease. The successful rate of CPR and the prognosis are associated with the duration of CPR and the distribution of etiological factor of cardiac arrest.