摘要
目的探讨心搏呼吸骤停患者院前心肺复苏的影响因素,以期提高院前心肺复苏的成功率。方法回顾性分析徐州市中心医院急诊科2009年12月-2010年12月的376名院前心肺复苏患者的临床资料,分析院前心肺复苏影响因素。结果抢救半径、心搏呼吸骤停患者年龄、心搏停止时间、现场电击除颤早晚及基础原发病均直接影响心肺复苏成功率。是否有基础原发病对CPR抢救成功率影响不大。结论影响院前心肺复苏成功的因素很多,必须做到快速到达现场,快速诊断,快速心肺复苏,采用改良胸外按压术,尽早除颤并及时、有效、合理地使用复合药物,才能提高院前心肺复苏的成功率。在复苏过程中,应用冰袋冰帽可有效降低脑组织代谢,降低脑氧气消耗量,在有效地辅助心肺复苏的同时可有效促进脑复苏。另外,加大心肺复苏术在公众中的普及力度也尤为重要。
Objective To discuss the relevant factors of pre-hospital cardiopulmonary resuscitation in patients with respiratory and cardiac arrest,so as to improve the achievement ratio of cardiopulmonary resuscitation（CPR）.Methods The clinical information of pre-hospital cardiopulmonary resuscitation from December 2009 to December 2010 in the emergency department of our hospital was analyzed retrospectively,the relationship between the prognosis and rescue was analyzed preliminarily.Results The distance from hospital,age of patients with respiratory and cardiac arrest,asystole time and timely emergency electrical shock directly influenced the success rate of cardiopulmonary resuscitation.The underlying diseases had no obviously effect on the rate.Conclusion There are a lot of factors influence the successful pre-hospital cardiopulmonary resuscitation.The emergency staffs must be faster on scene,take a rapid diagnosis,perform a fast cardiopulmonary resuscitation and electrical shock timely,effectively and rationally manage compound drugs to improve the success rate of pre-hospital cardiopulmonary resuscitation.In the recovery process,the ice cap can effectively reduce the brain tissue metabolism,reduce the consumption of oxygen to the brain,and be helpful to cardiopulmonary resuscitation.This can effectively promote the brain recovery.In addition,to increase the popularity CPR efforts in public is also a particularly important step.
出处
《中华全科医学》
2011年第12期1961-1962,共2页
Chinese Journal of General Practice
关键词
心搏呼吸骤停
心肺复苏(CPR)
院前急救
Respiratory and cardiac arrest
Cardiopulmonary resuscitation
Pre-hospital medical care
