心脏骤停急诊复苏96例分析

Analysis of 96 patients with cardiac arrest resuscitation

目的探讨持续心肺复苏早期电击除颤合理用药对提高心脏骤停患者急诊复苏成功率的意义。方法 2007～2013年我院急诊科收治心脏骤停患者96例,所有病例均立即持续心脏外按压,开放气道,球囊面罩通气和气管插管辅助呼吸,及时建立通道补液,肾上腺素静脉推注。结果室颤5分钟以内除颤42例,抢救成功21例,成功率50%;5～10分钟32例,抢救成功10例,成功率31.2%,10分钟以上22例,抢救成功1例,成功率4.5%。结论在发现室颤的情况下,应立即电击除颤,同时持续心肺复苏及尽快气管插管,建立通道,使用复苏药物,越早除颤成功率越高。

Objective To investigate the significance of continuing CPR,early defibrillation and rational use of drugs to increase successful rates of cardiac arrest resuscitation in patients with sudden cardiac arrest.Methods Ninety-six patients treated at the emergency department in our hospital were involved in the study.All cases received the treatments of immediately continue cardiac compressions,opening the airway,balloon mask ventilation and tracheal intubation assist breathing,and establishment of channels rehydration as well as adrenal intravenous injection.Results Forty-two cases were defibrillated within 5 minutes;of which 21 cases were successfully rescued（success rate was 50%）.Thirty-two cases were defibrillated within 5-10 minutes;of which 10 cases were successfully rescued（success rate was 31.2%）.Twenty-two cases were defibrillated more than 10 minutes;of which one case was successfully rescued（success rate was 4.5%）.Conclusion In the case of ventricular fibrillation discovered,it should perform immediately defibrillation.At the same time,continuous CPR,tracheal intubation and establishment of channels for recovery drugs should be carried out as soon as possible.Early defibrillation has higher the success rate.