266例院前猝死病例的急救分析

First-aid Analysis of Pre-hospital Sudden Death in 266 Patients

目的对影响CPR成功率的因素作深入细致的研究,以便提高我省猝死患者院前复苏的成功率。方法回顾性分析2008年6月～2009年3月经过我中心救治的266例患者的诊治经过及中间环节。结果在266例猝死病例中,复苏成功13例(占4.88%),康复出院7例。结论我国与发达国家8%的复苏成功率相比差距较大,需在以下几点加以完善,以期提高猝死患者的复苏成功率:(1)全民重视"生命链"问题;(2)科学配置急救站点,缩短急救半径和反应时间,及时给予基础生命的支持;(3)权衡利弊肾上腺素用量与尽早应用纳洛酮;(4)最实质的问题之一是"生命链"中第二个环节的断裂,应普及全民急救知识。

Objective To influence the success rate of CPR factors for in-depth and meticulous research,in order to improve the province of pre-hospital sudden death in patients with a success rate of recovery. Methods A retrospective analysis from June 2008 to March 2009,after 266 I treatment center for diagnosis and treatment of patients and intermediate links through. Results in 266 cases of sudden death cases,13 cases of successful recovery （or 4.88% ）,7 cases recovered and were discharged. Conclusion 8 percent in China and developed countries the success rate of recovery compared to the larger gap between the need to be improved in the following sudden death in patients with a view to improving the success rate of recovery：（1）Full attention to ＂life chain＂ issues. （2）Scientific configured site first aid and shorten the first radius and reaction time,the basis of a timely manner to support life; 3, weighing the pros and cons as soon as possible,the application of epinephrine and naloxone consumption; 4,one of the most substantial is the ＂life chain＂ in the second part of the fracture should be universal universal first-aid knowledge