ICU中老年病人心肺复苏的结果分析

Analysis of older undergoing cardiopulmonary resuscitation in an intensive care unit

目的 了解ICU中老年病人心肺复苏的成功率、存活率与所患基础疾病的关系以及年龄对心肺复苏成功与否的影响。方法 对 1995～ 1999年在我院急救科ICU中经历过心肺复苏 (CPR)的所有≥ 6 0岁的老年病人病史进行回顾性研究。结果 5a中共有 15 3名病人经历过CPR ,平均年龄 5 9岁 ,其中≥ 6 0岁的老年病人有 90人 ,2 1人 (2 3 3% )CPR成功 ,但最终仅有 2人(2 2 % )存活出院。结论 在老年病人中年龄并不是影响ICU中最初心肺复苏成功与否的主要因素 ,但随着年龄的增加 ,存活出院率明显下降。

Objectives This study were to report ① the survival rate and outcome after cardiopulmonary resuscitation in an intensive care unit.② The relation between successful CPR and patients with acute illness or chronic medical conditions and age.Methods We present a retrospective review of all patients undergoing CPR in emergency intensive care unit during 5 year period(1995～1999).Results One hundred and fifty-three patients received CPR(mean age 59 years).There were ninety older patients(≥60 years),although 21(23.3%)of the older were initial resuscitated,only 2 (2.2%) ultimately survived from hospital discharge.The older who were successfully resuscitated were different from the patients who were not successfully resuscitated in length of ICU stay,but sex and age were similar among them.The primary contributing diagnoses at time of admission were cardiovascular-cerebral vascular disease in 29(32%),infection disease in 21 (23%),respiratory disease in 11 (12%),gastrointestinal disease 11(12%),malignancy in 8(9%).Conclusions Age was not independently associated with a outcome after CPR in the elderly.Cardiovascular-cerebral vascular disease,infection disease and respiratory disease were common among patient who undergoing CPR in ICU.