35例院前猝死患者急救体会

A Report of First Aid of 35 Cases of Pre-hospital Sudden Death

目的:探讨提高猝死复苏成功率的有效途径。方法:对35例猝死患者院前现场抢救的临床资料进行分析。结果:现场复苏成功率为14.29%,远期存活率为8.57%。结论:院前猝死是院前急救的主要急危重症之一,缩短急救半径、减少呼叫等待时间,早期电击除颤和气管插管是救治院前猝死的重要措施;重视脑复苏,对公众普及CPR技术及相应的急救技能是提高院前心肺复苏的成功率的关键。

Objective ： To study the effective methods of pre-hospital care about pre-hospital sudden death. Method.s： 35 cases of pre-hospital sudden death having received first aid were statistically analyzed. Results： the success rate of on-site resuscitation reached 14.29 %, long term survival rate only reached 8.57%. Conclusion： Pre-hospital sudden death is one of the main critical diseases for Pre-hospital first aid. Shortening rescuing radius,decreasing the time of call and wait, early defibrillation and endotracheal intubation is vital to victims of pre-hospital sudden death;emphasizing cerebral resuscitation and providing the public with cardiopulmonary resuscitation（CPR）and first aid skills is key to improve the efficiency of cardiopulmonary resuscitation.