心脏性猝死21例临床分析

The Clinical Analysis of 21 Cases of Sudden Cardiac Death

目的：探讨心脏性猝死（SCD）临床特点及抢救。方法对2012年1月～2014年6月收治的21例SCD临床资料进行回顾性分析。结果本组21例SCD均有器质性心脏病，冠心病5例，高血压2例，冠心病合并高血压12例，扩张性心肌病1，心律失常1例。心脏骤停时即时检测显示室性心律失常占63%，心室颤动占45%。结论早期诊断的目的，在于争取早期复苏。CPR开始越早，存活率就越高。所以，要强调诊断的及时性、复苏的时效性，这是成功的关键。

Objective The clinical features and rescue treatment of sudden cardiac death（SCD）are to be investigated. Methods Review and analyze the clinical treatment data selected from 21 patients of sudden cardiac death that are treated in hospital from January 2012 to June 2014. Results Al of 21 patients of SCD have organic cardiopathy,and there are 5 cases of coronary heart disease and 2 cases of hypertension,and 12 cases of coronary heart disease jointed with hypertension and one case of dilated cardiomyopathy and one case of arrhythmias. The instant detection at the time of cardiac arrest shows that the ventricular arrhythmia makes up for 63%of SCD,while,the ventricular fibril ation accounts for 45%of SCD. Conclusion The purpose of diagnosis in early time is for the early recovery of patients,and the earlier the CPR begins,the higher the patients’livability is. Therefore,the timeliness of diagnosis and recovery of patients should be attached importance,which is the key to success of treatment.