初级心肺复苏44例分析

The Analysis of Basic Life Support of 44 Patients of Cardiac Arrest

目的:分析本院两年来急诊初级心肺复苏情况,为进一步提高心肺复苏成功率提供依据。方法:回顾性分析本科2004年1月～2005年12月间44例心肺复苏病例。观察其心跳骤停发生地点、骤停时间、病因、肾上腺素用量、有无电除颤及机械通气等指标。结果:成功组复苏前骤停时间比失败组短(P<0.05);在院内发生骤停的复苏成功率比院外要高(P<0.01);成功组需要的胸外按压时间和肾上腺素总量均低于失败组(P<0.05)。结论:影响心肺复苏成功的基础因素包括心肺复苏前骤停的时间、地点、基础病,在心肺复苏过程中是否及时开放气道、进行胸外按压的时间、肾上腺素的用量等可预测复苏的成功率。

Objective： To improving the successful survival rate of the basic life support（BLS）. Methods： 44 cases of cardiac arrest were divided into 2 groups. Observing the arrest place, time and the basic illness, the dose of Epinephrine, times of defibrillation and the methods of airway and ventilation. Results： The cardiac arrest time of successful group was short than the failure team（P〈0.05）;the chest compression time was short than the failure team（P〈 0.05）; the dose of Epinephrine of successful group was less than the failure team （P〈 0.05）. Conclusions： The basic cause that including the arrest place, time and the basic illness will influent the rate. Airway on time, the times of the chest compression and the dose of Epinephrine maybe predict the survival rate.