摘要
目的探讨呼气末二氧化碳浓度(ETCO2)在心肺复苏时的临床意义。方法观察12例院内心跳骤停患者心肺复苏时气管插管后ETCO2的变化。结果①自主循环恢复的8例气管插管后ETCO2明显高于未恢复的4例ETCO2(2.09%Vs1.13%,P<0.01)。②复苏成功的8例自主循环恢复后ETCO2迅速升高达3.41%,与插管后即刻比较差异有高度显著性(P<0.01)。结论ETCO2不仅可作为心肺复苏的一种监测指标,而且对判断预后有一定指导意义。
Objective To estimate the value of endtidal carbon dioxide(ETCO_2)monitouing during cardiopulmonary resuscitation(CPR).Method Changes of ETCO_2 in 12 cardiac arrest patients after endotracheal intubation during CPR were observed.Result ①The average ETCO_2in eight patients with the return of spontaneous circulation(ROSC) was significantly higher than that in four patients without the ROSC (2.09% Vs 1.13%,P<0.01).②The ETCO2in 8 patients with successful rescuscitation after ROSC increased abruptly to 3.41%,and had a significant difference than that after endotracheal intubation (P<0.01).Conclusion ETCO2 not only can be a valuable monitoring indicator during CPR,but also has prognostic value for CPR.
出处
《潍坊医学院学报》
1997年第4期286-287,共2页
Acta Academiae Medicinae Weifang
关键词
心肺复苏
监测
呼气末
二氧化碳
浓度
cardiopulmonary rescitation
monitoring
endtidal carbondioxide(ETCO2)