围麻醉期心肺复苏成败影响因素的临床分析

目的　回顾性分析围麻醉期心脏骤停病人心肺复苏成败影响因素。方法　将我科近 12年 46例围麻醉期心脏骤停病人分为两组。成功组 3 0例 ,失败组 16例。观察其心脏骤停发生的原因、时间、病人的一般情况、有无重要脏器疾病、有无电解质紊乱、肾上腺素用量、有无胸心心脏按压及电除颤、机械通气。结果　如非心源性心脏骤停是 ,骤停时间短 ,抢救及时 ,大剂量肾上腺素的应用 ,良好的机械通气 ,尽早使用电除颤 ,有条件做胸内心脏按压术可提高复苏成功率。

The clinical analyse of the cardiopulmonary resuscitation influence factors in Peri-anesthesia

Retrospective analysised 46 cardio arrest cases in our department of 12 years, assigned to 2 groups, the successful group 30 cases, failure group 16 cases. Observed the cause, time, general conditions of patients, vital disease, whether or not electrolyte failure, dose of adrenaline, whether or not introthoracic caidiac massive and electro defibralation, mechanical ventilation of cardio arrest.Results cardio arrest is not originate from heart, arrest time is short, the general condition is good, young, no vital organ diseases, no obvious electrolyte failure, large dose of adrenaline, right mechabical ventilation, using electro defibralation earlier, prefered introthoracic caidiac massive if conditions is possible, the rate of successful resuscitation could be higher.