心肺复苏136例临床分析

Clinical Analysis of Cardiopulmonary Resuscitation in 136 Cases

目的探讨影响心肺复苏成功的因素,总结经验,提高心肺复苏成功率。方法对136例心肺复苏患者临床资料进行回顾性分析。结果院内外两组复苏成功率有显著性差异;心跳呼吸停止的时间直接影响复苏成功率;球囊面罩通气组和气管插管组复苏成功率无显著性差异;2005年心肺复苏指南指导下复苏成功率较2000年指南指导下显著提高。结论复苏开始时间越早,复苏成功率越高;在早期复苏中应根据具体情况选择通气方式;应用2005年心肺复苏指南可提高复苏成功率,值得推广应用。

Objective To study the influencing factors of CPR and summarize the experience in order to improve success rate of CPR. Methods The clinical data of 136 cases with cardiopulmonary resuscitation were analyzed retrospectively. Results Achievement ratio was significant difference between nosocomial patients and outside-hospital patients. The time of asystole influenced the successful ratio of CPR. The successful resuscifion rates were not different between trachea intuhation group and saccule mask ventilation group. The success rate of CPR was raised significantly under the Guidelines on 2005 International CPR. Conclusion The earlier the CPR, the higher the successful rate. The manner of artificial ventilation bases on the specific conditions in early stage of CPR. The application of the Guidelines on 2005 International CPR could improve the success rate of CPR.