院外心脏骤停患者42例复苏分析

Analysis on 42 cases of cardiopulmonary resuscitation out of the hospital

目的提高院外心脏骤停患者抢救成功率,降低死亡率。方法本文对2005年国际复苏指南发布前后98例院外心脏骤停患者的抢救结果进行分析对比,其中42例按新指南复苏,加强了不间断胸外按压的足够频率和深度,加用胺碘酮、纳洛酮等,并行积极的病因处理。结果除了抢救时间窗外,按新指南复苏的抢救效果明显高于以往(P<0.01)。结论除了提高胸外按压的质量外,积极的病因处理,对不同病因采取不同的抢救方法,可提高院外复苏的有效率。对自主循环恢复(ROSC)患者,院外早期应用抗炎药物,对提高患者的生存率有着重要的意义。

Objective To improve the level of cardiopulmonary resuscitation out of the hospital and reduce the death rate. Methods We analysed 98 cases of first aid resuhs of cardiac arrest patients out of the hospital, results of 42 cases by new quidelines recommended standard CPR and the effect of Cordarone and Naloxone Hgdroehlouide treatment. Results Except salvage time, new quidelines recommended standard was better than that before （both P〈0.01）. Conclusion Except high quality CPR, the different treatment for the different disease can improve the effect of cardiopulmonary resuscitation out of the hospital. After restoration of spontaneous circulation （ROSC）, the treatment out of the hospital by anti-inflammatory reaction drugs has a significance for survival rate of cardiac arrest patients.