急诊复苏患者呼吸心跳停止前高危征象调查

RESEARCH OF HIGH-RISK FACTORS ON PATIENTS BEFORE RESPIRATORY AND CARDIAC ARREST

目的探讨急诊复苏患者呼吸、心跳停止前的高危征象,为可能发生呼吸、心跳停止患者的急诊急救提供诊治依据。方法对194例急诊复苏患者呼吸、心跳停止前的临床资料进行回顾性分析,重点是基础疾病、呼吸心跳停止前主诉、症状、体征等资料。结果①急诊呼吸、心跳停止复苏患者以内科基础疾病占绝大多数(89.18%),所有复苏患者总体复苏成功率约为6.70%;②内科基础疾病中,呼吸、心跳停止者以突然发生且无可采集主诉者最多,约占40.46%;有可采集主诉患者中以呼吸困难、胸闷者最多,其次为胸痛、心慌等主诉,前者发生率显著高于后高(P<0.05)。③呼吸困难、胸闷主诉者基础疾病以呼吸系统疾病为主,胸痛、心慌主诉者以循环系统疾病为主。结论急诊复苏患者以突然发病、无明显可采集主诉最常见;有可采集主诉者中,呼吸困难、胸闷加重是最高危征象,其次为胸痛、心慌等症状。

Objective To investigate the high- risk factors on emergency sufferers and provide diagnosis or treatments to the possible respiratory and cardiac arrests. Methods The clinical information of 194 emergency sufferers was collected. Of which, basic disease, symptom and sign were analyzed. Results （1）Medicine diseases shared majority in sufferers（89.18%）. The resuscitative successful rate was about 6.70%; （2）Unidentified cases were at most in medicine disease （40.46%） ; and identified cases were dyspnea,chest stuffy at most, secondly chest pain and confused, the former was more common than the latter （P〈0.05） ; （3） Dyspnea,chest stuffy indicate respiratory system disease, as chest pain,confused circulatory system as principle. Conclusion Emergency resuscitation is common; dyspnea and chest stuffy aggravation are high- risk factors, chest pain and panicky are the second.