镇区医院院前猝死49例临床分析

Clinical Analysis of 49 Patients with Sudden Death in Pre-hospital in Town Hospital

目的:总结镇区医院院外猝死发生的临床特点,提高院前急救的成功率。方法:回顾性分析2005年1月～2011年12月我院救治的院外猝死49例的临床资料。结果:猝死前有心血管病史者24例,有前驱症状者14例,猝死高发年龄为40～60岁,家中猝死者占71.4%;由目击者进行心肺复苏(CPR)的3例中复苏有效1例;呼叫至到达现场的平均时间为11.4分钟。结论:对已有心血管病基础病史的患者应关注其发生猝死的可能性,在人群中普及以CPR为主的初级救护知识和努力缩短急救反应时间可提高CPR的成功率。

Objective： To sum the clinical features of patients with sudden death in town hospital to improve the succeed rate of pre-hospital first aid. Methods： The clinical data of 49 patients with sudden death in pre-hospital were retrospectively analyzed from Jan 2005 to Dec 2011. Result： 24 cases had subjected cardiovascular disease and 14 had potential symptoms and signs,higher incidence ages of sudden death in pre-hospital were 40-60 years. Sudden death occurred more often in males than females and the events taken place at home accounted for 71.4%. 3 eases were received cardiopulmonary resuscitation （CPR）by witness and 1 ease responded effectively to the resuscitation.The average time interval from call to arrival at site was 11.4 minutes. Conclusions： It should be emphasized that the eases who have history of cardiovascular diseases have higher possibility of sudden death.It is necessarily to propagandize the knowledge and the basic procedure of applying primary emergency care with CPR in public.The effort should be made in shorting the emergency response time and improve the succeed rate of CPR.