摘要
目的:研究影响心肺脑复苏中若干因素。对心脏呼吸骤停病人发生的原因、地点、年龄、性别及治疗经验及教训进行了探讨。方法:90例心脏呼吸骤停病人分为2组,其中A组为心肺脑复苏成功20例(男性12例,女性8例,年龄50.3a±12.5a);B组为心肺复苏最终不能成功者70例(男性45例,女性25例,年龄68.4a±8.8a)。结果:2组心肺复苏开始时间分别为2.4±1.6分钟和6.4±3.2分钟;电击除颤开始时间分别为4.0±1.2分钟和7.5±3.0分钟;2组比较有差异(P<0.01),与年龄及原发病等比较差别有显著意义(P<0.05)。结论:现场进行快速及有效心肺脑复苏(CPCR)是抢救成功关键。同时重点处理脑复苏,迅速改善缺氧状态及血液流变学的影响。
Objective: To evaluate the factors on effecting cardio-pulmonary-cerebral resuscitation, discussing the cardiac arrest patients about the occurring reason, suits, age, sex, treating experience and indoctrination. Method: Ninety patients with cardiac arrest were divided into A/B two groups. A group is 20 successful cardio-pulmonary-cerebral resuscitation cases(M12, F8; age 50. 3 a±12.5 a) ;B group is 70 unsuccessful cardio-pulmonary-cerebral resuscitation cases (M45, F25; age 68.4a±8.8a). Result:The cardio-pulmonary resuscitation starting time were 2.4±1.6 mins and 7.5±3.0 mins; the electric-defibrillation starting time were 4. 0±1.2 rains and 7.5±3.0 mins; There was obvious difference between two groups( P<0.01) . And significantly difference compare with age and the primary affection between two groups( P<0.05). Conclusion: The success key is the fast and effective CPCR. After that, the emphases must on treating the cerebral resuscitation, on improving the hypoxia and affecting hemorheology.
出处
《岭南急诊医学杂志》
2002年第2期87-88,共2页
Lingnan Journal of Emergency Medicine
关键词
心肺脑复苏
心搏骤停
肾上腺素
电除颤
高压氧疗
cardio-pulmonary-cerebral resuscitation
cardiac arrest
adrenaline
electric-defibrillation
hyperbaric oxygenation treating
