儿科急诊心肺复苏的临床特点及预后探讨

Clinical Features and Prognosis of Cardiopulmonary Resuscitation in Pediatric Emergency

目的分析急诊患儿心跳呼吸骤停原因,探讨急诊心肺复苏特点及患儿预后。方法回顾性分析我院儿科急诊2010年1月至2012年1月收治心跳呼吸骤停患儿100例,分析发病原因,比较呼吸及心跳骤停患儿预后情况。结果心跳呼吸骤停患儿主要诱发因素为呼吸性,心脏骤停患儿总存活率明显高于呼吸骤停患儿,组间比较差异显著(P<0.05)。结论呼吸系统疾病是造成儿科患者心跳呼吸骤停主要原因之一;及时有效地心肺复苏能够有效降低患者病死率,改善预后。

Objective To analysis the reason on children with cardiac and respiratory arrest,and investigate the clinical features of cardiopulmonary resuscitation on pediatrics emergency and prognosis.Methods 100 patients with cardiac and respiratory arrest were analyzed retrospectively in the period from January 2010 to January 2012 in Pediatrics Department of our hospital to analyze the reason on children with cardiac and respiratory arrest and compare the prognosis of children with cardiac and respiratory arrest.Results The main predisposing factor of children with cardiac and respiratory arrest is respiratory system diseases.And the overall survival rate of schildren with cardiac arrest were significantly better than children with respiratory arrest（P 0.05）.Conclusion The main reason on children with cardiac and respiratory arrest is respiratory system diseases.The timely and effective cardiopulmonary resuscitation can effectively lower mortality rate of children with cardiac and respiratory arrest and improve the prognosis.