| 氨茶碱与肾上腺素联合应用在心肺复苏中的临床价值 |
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| 引用本文： | 陈胤结,周石连,周明. 氨茶碱与肾上腺素联合应用在心肺复苏中的临床价值[J]. 中国医疗前沿, 2008, 0(14) |
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| 作者姓名： | 陈胤结 周石连 周明 |
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| 作者单位： | 广西医科大学第九附属医院急诊科 |
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| 摘 要： | 目的探讨氨茶碱与肾上腺素联合应用在心肺复苏中的临床价值。方法将90例心跳骤停(CA)患者随机分成三组:标准剂量肾上腺素(SDE)组30例、大剂量肾上腺素(HDE)组30例、氨茶碱与肾上腺素联合应用(ADE)组30例。采用肘静脉推注氨茶碱与肾上腺素:SDE组采用首次1mg肾上腺素静脉推注,无效则每隔3min重复1次首次剂量;HDE组采用0.1mg/kg-1.bw肾上腺素作为首次剂量,无效则每隔3min重复1次首次剂量;ADE组采用首次1mg肾上腺素和氨茶碱10mg/kg-1.bw静脉推注,无效则每隔3min重复1次首次剂量。同时监测心率、节律、平均动脉压和自主循环恢复的时间,并进行复苏效果的评价。结果(1)HDE组和ADE组首剂自主循环恢复率、24h存活率、出院存活率与SDE组比较均显著增高;(2)ADE组肾上腺素平均用量明显低于HDE组,且首剂自主循环恢复率、24h存活率、出院存活率明显增高。结论氨茶碱与肾上腺素联合应用在心肺复苏中能明显提高心肺复苏自主循环恢复率、24h存活率、出院存活率,是提高心肺复苏成功率的新的方法和途径。
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| 关 键 词： | 心肺复苏 氨茶碱 肾上腺素 |
The clinical value of the aminophylline and epinephrine with method of combination on cardiopulmonary resuscitation |
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| Chen Yin-jie; Zhou Shi-lian; Zhou Ming. The clinical value of the aminophylline and epinephrine with method of combination on cardiopulmonary resuscitation[J]. China Healthcare Innovation, 2008, 0(14) |
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| Authors: | Chen Yin-jie Zhou Shi-lian Zhou Ming |
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| Affiliation: | Chen Yin-jie; Zhou Shi-lian; Zhou Ming Department of Emergency; The Ninth Affiliated Hospital of Guanxin Medical University; Beihai 536000; China; |
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| Abstract: | Objective To investigate the clinical value of the aminophylline and epinephrine with method of combination on cardiopulmonary resuscitation(CPR).Methods Ninety cases with sudden cardiac-arrest(CA) were randomly divided into 3 groups.thirth cases with the standard-dose epinephrine group(SDE group),thirth cases with the high-dose epinephrine group(HDE group), thirth cases with the aminophylline and epinephrine by uniform method combination group(ADE group).To apply aminophylline and epinephrine with elbow ve... |
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| Keywords: | Cardiopulmonary resuscitation Aminophylline Epinephrine |
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