院前心搏骤停患者129例的流行病学分析与急救探讨

目的 探讨院前心搏骤停患者的流行病学特征,提高急救水平. 方法 回顾分析我院2006-12-30-2009-09-10院前129例心搏骤停患者的流行病学特征与急救过程. 结果 院前心搏骤停患者,男女比为2.4: 1.以60岁以上、冬季、每日6～12时的心搏骤停患者为主,差异均有统计学意义(P<0.01).有95.00%的第一目击者呼救反应时间在10 min以上,急救车到达现场的平均时间7 min,无社区急救人员参与救治,患者最终自主循环恢复率为3.88%. 结论 院前心搏骤停患者病死率极高,加大对全民心肺复苏普及,开展社区急救是提高院前心搏骤停患者生存率的关键.

Epidemiological Analysis and First Aid in Pre-hospital Cardiac Patients:A Report of 129 Cases

Objective To investigate the epidemiological characteristics of pre-hospital cardiac arrest to improve its treatment.Methods .A retrospective analysis was conducted on the epidemiological characteristics and first-aid process in patients with pre-hospital cardiac arrest admitted to our hospital from 2006-12-30 to 2009-09-10.Results The male female ratio of pre-hospital cardiac arrest patients was 2.4 to 1,mainly aged 60 years,at 6～12 o'clock in winter,the difference was significant (P<0.01).The time of calling for help of first witnesses was over 10 min,the average time of ambulance arriving at the scene was 7 min.No community emergency personnels participated in the first aid.The final spontaneous circulation of patients was 3.88%.Conclusion The mortality rate of pre-hospital cardiac arrest is extremely high.It is the key of increasing the survival rate of pre-hospital cardiac arrest patients that the popularity of cardiopulmonary resuscitation and community first-aid should be carried out.