老年人猝死心肺脑复苏存活6例分析

A STUDY OF SUCCESFUL CPCR IN THE AGED WITH SUDDEN DEATH

随着人均寿命延长,老年人猝死已是急诊常见的一种极为紧急的危重症。由于种种因素,复苏率尤其是脑的复苏存活率极低,为提高老年人猝死抢救成功率,本文把我科1992年7月～1993年4月心肺脑复苏存活的6例老年人(70岁以上)进行回顾性研究,就复苏措施及药物应用总结分析如下。 临 床 资 料 一、病例简介:男4例,女2例,平均年龄74岁。见表1。 二、复苏措施:复苏开始均即刻持续正确有效的心脏按压,于2分钟内开通气道、排除异物。

This paper reports six cases of sudden death (mean age 74 years), all survived after cardio Pulmonary Cerelrum Resuscitation (CPCR). The resuscitation began while CPCR was taking. The primary and advanced vital supporting measures were applied together, and the procedure was performed under ABC program simutaneously. While considering the physiopathological characters of the old, 1 mg of Adrenaline was given for every other five minutes until autonomic heart beat become normal. Mechanic ventilation is the main method for acidosis correction. 100 ml of NaHCO3 was given while pH<7.2, HCO3-< 15 mmol/L or shock is accompanied after resuscitation. 250 ml of mannitol per day was given by Intravenous drip for 2- 5 days while serious cerebral edema phenomenon appeared.