影响院内心脏复苏成功的多因素临床分析

A Clinical Study on the Influence Factors of Effective Resuscitation

目的 研究心脏猝死患者临床特征及影响其成功复苏的相关因素。方法 对我院 76例住院患者心跳骤停心脏复苏术进行回顾分析。结果 76例患者即刻心脏复苏成功率达 47例 ( 61 8% ) ,完全成活率 2 8例 ( 3 6 8% ) ,总死亡率 63 2 %。复苏成功与复苏开始的时间、心跳骤停的方式、心脏的结构和功能状况呈正相关 ,与电除颤的次数呈负相关 ,与年龄性别关系不明确。结论 即刻心脏电复律是影响心脏复苏成功的关键因素 ,持续有效的心脏按压是保证心肺复苏成功的前提条件 ,基础心脏病是影响转归的主要因素。

Objective To study the clinical features of cardiac arrest patients and the influence factors of effective resuscitation. Methods The clinical data of 76 patients in our hospital who underwent cardiac arrest and resuscitation were analyzed retrospectively. Results The effective resuscitation were observed in forty-seven patients (47/76, 61.8%), 28 patients completely survived(28/76,36.8%), and the total death rate was 63.2%. The successful rate of resuscitation was positive relation to the starting time of resuscitation, the way of cardiac arrest, and the structure and function of heart, but was negative relation to the times of cardioversion. The successful rate of resuscitation had indefinite relation with the patients age and gender. Conclusion The immediate cardioversion was the key factor of successful resuscitation.The successful resuscitation was dependent on the continuous and effective cardio-press. Basical cardio-disease was the major factor affecting prognosis.