心脏性猝死在山区基层医院的院前急救探讨

Discussion of pre-hospital emergency care of cardiogenic sudden death in primary hospitals of mountainous area

目的据山区交通不便、基层医疗落后的特点,因地制宜地采取多种有效措施防范和减少猝死发生。方法回顾性分析我院2007年至2014年共40例院前心脏性猝死患者的临床资料。结论心脏性猝死是心血管疾病最严重的临床表现,其院外心脏骤停的生存率很低(<5%)[1],通过提高高危人群的自我保护意识,及时就医;积极干预危险因素,减少猝死的发生;开展和推动民众参与现场急救,提供及时有效的现场即刻心肺复苏,可以一定程度上弥补山区应急反应时间长的缺陷,有效减少猝死的发生。120作为院外急救中最重要的部分,充分发挥其作用,可以最大限度挽救病人的生命。

Objective According to the characteristics of inconvenient traffic and poor primary care in the mountainous area, we adopted multiple effective measures to prevent and reduce the sudden death. Methods The clinical data of 40 pre-hospital cardiogenic sudden death patients in our hospital from 2007 to 2014 were retrospectively reviewed. Conclusion Cardiogenic sudden death is the most severe clinical manifestation of cardiovascular diseases and cardiac arrest patients have a low survival rate （〈5%）. The defect of emergency response time can be remedied to a certain extent through improving the self-protection awareness of high-risk population, getting timely medical treatment, actively managing risk factors and reducing the occurrence of sudden death, prompting people to participate in the first aid on the spot, and offering timely and effective immediate cardiopulmonary resuscitation （CPR）. Bringing into full play the function of 120 emergency service center, which is the most important part of the pre-hospital emergency care, can save the patients＇ lives to the largest extent.