60例心肺复苏结果与临床探讨

The Results and Clinical Study of 60 Cases of Cardiopulmonary Resuscitation

目的探讨心脏骤停时影响心肺复苏因素及心肺复苏结果,总结心脏骤停患者心肺复苏治疗及提高心肺复苏成功率的方法。方法回顾性分析该院急诊科2010年8月—2012年9月收治的60例心脏骤停患者的临床资料。结果观察组自主循环恢复率、存活率较对照组明显提高,两组对比差异有统计学意义(P<0.05或0.01);两组在TCA、TC及电击除颤开始时间等方面对比差异有统计学意义(P<0.05)。结论影响心脏骤停患者心肺复苏成功因素较多,血管加压素联合肾上腺素可一定程度上提高心肺复苏的成功率。正确把握电除颤时间,配合气管插管、联合用药对成功心肺复苏有积极的促进作用。

Objective To study the factors that affect the results of cardiopulmonary resuscitation and summarize the methods of in- creasing the success rate of cardiopulmonary resuscitation for patients with cardiac arrest. Methods The clinical data of 60 patients with cardiac arrest admitted in Department of Emergency of our hospital from August, 2010 to September, 2012 were analyzed ret- rospectively. Results The rate of spontaneous circulation restoration and the survival rate of the observation group were higher than those of the control group, the differences were statistically significant（P〈0.05 or P〈0.01 ）. The differences in the aspects of TCA, TC and defibrillation beginning time between the groups were statistically significant （P〈0.05）. Conclusion Many factors affect the suc- cess of cardiopulmonary resuscitation for patients with cardiac arrest. To some extent, vasopressin combined with epinephrine can in- crease the success rate of cardiopulmonary resuscitation. In addition, timely defibrillation, endotracheal intubation and drug combi- nation have positive effects upon cardiopulmonary resuscitation.