心跳骤停心肺复苏106例临床分析

目的通过回顾66例心脏骤停患者急诊科心肺复苏成功病例，分析成功因素。方法回顾本院2010～2011年急救心跳骤停106例患者心肺复苏抢救过程、结果等，进行统计分析。结果经过为时40min的急救，106例患者中复苏成功66例（62．26％），死亡40例（37．74％），其中，院内成功率为83．33％，院外成功率为16．67％。病因与复苏成功率关系不大，不同开始心肺复苏时间患者成功率差异明显（P〈0．05）。结论缩短检查确诊、评估时间，提早进入复苏时间．心肺复苏基础上，根据病情情况，适当配合联合运用血管活性药物和加压素，灵活掌握复苏技巧，可以有效提高复苏成功率。

Clinical analysis of cardiopulmonary resuscitation of 106 cardiac arrest cases in emergency department

Objective To analyze successful factors by retrospective analysis of 66 cardiopulmonary resuscitation cases of cardiac arrest.Methods The cardiopulmonary resuscitation process and the results of 106 cardiac arrest patients in our hospital from 2010 to 2011 were reviewed and analyzed.Results After 40 minutes’ first aid,66 cases(62.26%) resuscitation were successful among 106 patients,yet,40 patients(37.74%) died,the success rate was 83.33% inside of hospital and 16.67% outside.Etiology and recovery success rate had little relevent,while the timing to start cardiopulmonary resuscitation had a great relationship with success rate,differences were significant(P < 0.05).Conclusion Shortening the time of examination,diagnosis and assessment,performing CPR as soon as possible,according to disease situation,cardiopulmonary resuscitation combined with vascular drugs and vasopressin plus flexible resuscitation techniques can effectively improve the success rate of resuscitation.