心搏骤停患者119例心肺脑复苏效果分析

Effect Analysis of Cardiopulmonary and Cerebral Resuscitation in Cardiac Arrest Patients:Report of 119 Cases

目的总结我院心搏骤停患者的院内救治经验,以提高心肺脑复苏成功率。方法回顾性分析我科2005年5月—2007年5月院内急救的119例心搏骤停患者的临床复苏结果及预后。结果119例心搏骤停患者中,初步复苏成功32例,最终复苏成功7例,心肺复苏成功率为26.1%,心肺脑复苏成功率为5.9%。结论院内较高的初步复苏成功率并不能有相应的最终复苏成功率。后者的成功率与复苏开始时间、能否在第一目击现场打开气道、即刻给予持续有效的胸外按压、患者原发病是否可逆等因素密切相关。打开气道和即刻给予的胸外按压,能满足脑及其他重要脏器最低代谢要求,不仅与心搏骤停患者初步复苏成功率关系密切,而且也是决定高级复苏术后心搏骤停患者能否最终康复出院的决定性环节。除颤只是有条件下的恢复心搏骤停患者心搏的一种重要手段。

Objective To summarize our experience in treatment of cardiac arrest （CA） patients to enhance the success rates of cardiopulmonary and cerebral resuscitation. Methods Retrospective analysis was carried out on results and prognosis of clinical resuscitation of 119 CA patients in - hospital treated in our department from May 2005 to May 2007. Results Out of 119 CA patients, 32 were initially resuscitated, 7 finally resuscitated, with a 26. 1% success rate of cardiopulmonary resuscitation （ CPR）, and a 5. 9% success rate of cardiopulmonary - cerebral resuscitation （CPCR）. Conclusion A high initial resuscitation rate doesn＇t mean a high final in hospital. The latter is closely correlated with the beginning time of resuscitation, airway opening at the first scene, timely and continuous and effective closed cardiac massage, reversible possibility of patients＇ primary disease and so on. Airway opening and timely closed cardiac massage can meet the minimal metabolism requirements of brain and other vital organs, not only closely related with success rates of initial resuscitation, but also being decisive judgment concerning final recovery of CA patients after higher resuscitation. Defibrillation is only an important means of reverting to cardiopalmus of CA patients when conditions permit.