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心肺复苏成功率与除颤时间窗关系的临床分析 被引量:34

The Clinical Analyses of Relation Between Successful Cardiopulmonary Resuscitation and Time Window of Defibrillation.
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摘要 目的:探讨心肺复苏成功率与除颤时间窗的关系及临床意义。方法:对86 例各种原因导致的心脏骤停患者在心肺复苏中及早使用电除颤时间窗与复苏成功率的相关性进行观察分析。结果:发现在心肺复苏中恢复自主呼吸与循环的44 例心脏骤停患者中尽早使用电除颤与复苏成功率有着密切的相关性,除颤开始的时间距心脏骤停发作越短复苏成功率越高。结论:心脏骤停患者尽早实施电除颤可明显提高心肺复苏成功率。 Objective: To study the relation between successful cardiopulmonary resuscitation(CPR) and time window of defibrillation and clinical significance.Methods: Time window of early defibrillation in 86 patients with heart arrest and rate of recovery of spontaneous respiration and circulation were analyzed. Results: patients with heart arrest recovered to spontaneous respiration and circulation after early defibrillation.There was close relation between early defibrillation and recovery of circulation. Conclusion:To improve the survival rate in CPR, defibrillation should be carried out as early as possible.
作者 任众环
机构地区 天津市人民医院
出处 《内科急危重症杂志》 2005年第2期73-74,共2页 Journal of Critical Care In Internal Medicine
关键词 心肺复苏 除颠 时间窗 Cardiopulmonary resuscitation Defibrillation Time window
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参考文献4

  • 1Max Harry W, Wanchun T. CPR: Resuscitation of the arrested heart. 1st Edition. Harcourt: W. B. Saunders Company, 1999,296-303.
  • 2Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Part 4:the automated external defibrillator.Circulation,2000,102(suppl Ⅰ ): 60.
  • 3Xie J, Wei L MH, Sun S, et al. High energy defibrillation increases the severity of postresuscitation myocardial dysfunction.Circulation, 1997,96:683.
  • 4Eftestol T,Sunde K,Steen PA. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation, 2002,105: 2270.

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