心脏停搏18例抢救分析

Analysis on rescue of cardiac arrest in 18 cases

目的探索心脏停搏时的抢救方法。方法 18例患者在住院期间突发心源性猝死,心电监护显示出现多种心律失常,在救治中出现心脏停搏。立即行心肺复苏术(CPR),对停搏的心脏进行复跳,主要包括胸外持续按压,肾上腺素静推和静滴,安置临时起搏器等综合治疗。结果复苏早期:17例心跳恢复,1例死亡;复苏晚期:14例存活,3例死亡。复苏成功率为77.8%。结论心源性猝死突发时对心脏停搏的抢救是抢救心源性死亡一个重要环节,持续胸外按压,静推和持续静滴肾上腺素,促使心脏尽快起搏,并及时安置临时起搏器等是有效的抢救方法。抢救时心跳的复苏时间及患者原有的心衰是影响复苏的重要因素。

Objective To investigate the rescue of cardiac arrest. Methods There were eighteen patients have sudden cardiac death during their hospitalization. At that time, eletrocardio-monitor showed cardiac arrest caused by multiple dysrhythmia, and showed in the rescue process that cardiopulmonary resuscitation （CPR） immediately was performed which including chest compres- sions, epinephrine intravenous injection, temporary pacemaker etc. Results In the early stage of CPR ： 17 patients were survived, 1 patient was dead. In the late stage of CPR： 14 patients were survived and 3 patients were dead. The total success rate of rescue was 77.8%. Conclusion The recovery of cardiac arrest is an important link in the rescue of cardiac sudden death. The method was available in resuscitation including continuous chest compressions, intravenous injection and continuous intravenous drip of epinephrine, and implanted with temporary pacing in time. Resuscitation time and previous heart failure were the important influence factor in CPR.