急诊重症监护病房心肺复苏成功相关因素分析

The Analysis of Relative Factors of Cardiopulmonary Resuscitation in Emergency Intensive Care Unit

目的:探讨急诊重症监护病房(ICU)心肺复苏(CPR)成功相关因素分析。方法:对我院256例接受CPR的患者的临床资料及合并症与心肺复苏成功率进行相关性分析。结果:在急诊ICU心肺复苏成功率46%。年龄、性别及复苏前心脏电生理状况对CPR的成功率无明显影响,合并有呼吸衰竭、肾功能衰竭、弥散性血管内凝血、脑疝的CPR成功率下降。气管插管所需的时间越短,复苏成功率越高。结论:在急诊ICU内CPR的成功与患者原发病及合并症有关;与气管插管时间呈负相关。

Objective：To evaluate factors associated with survival rate from Cardiopulmonary resuscitation in emergency intensive care unit （EICU）. Methods：256 EICU patients who accepted CPR were retrospectively reviewed on relativity of outcome of CPR and their clinical data. Results：The successful CPR ratio was 46%. Age, sex and the heart electrogphysiology before resuscitation did not affect the outcome of CPR. The complication of repiratory failure, disseminated intravascular coagulation and brain hernia affect the outcome of CPR. The low duration of trachea intubation was associated with good CPR outcome. Conclusion：The outcome of CPR in EICU is associated with patients＇primary disease, complication and duration of trachea intubation.