溺水儿童非传统顺序心肺复苏成功的原因探讨

Reasons for the success of non conventional sequential cardiopulmonary resuscitation in drowning children

目的:总结溺水儿童非传统顺序心肺复苏成功的原因,以进一步提高救治成功率。方法:选择溺水儿童20例,按救治方法分为传统组和非传统组。传统组按照开放气道、人工呼吸、胸外按压的顺序进行救治;非传统组先进行胸外按压,对于呼吸道内积水明显者给予排水,人工呼吸时借助胸外按压进行部分通气(即CAB)。结果:传统组存活率50.0%,非传统组存活率80.0%(P<0.05)。结论:先进行胸外按压,对于呼吸道内积水明显者给予排水,人工呼吸时借助胸外按压进行部分通气(即CAB)是抢救溺水儿童的重要措施,可以明显提高救治成功率。

Objective:To explore the reasons for the success of non conventional sequential cardiopulmonary resuscitation indrowning children,to further improve the success rate of treatment.Methods:20cases of drowning children were selected.Theywere randomly divided into the traditional group and the unconventional group.The traditional group was treated according to theorder of opening airway,artificial respiration and chest compressions.The unconventional group received chest compressions first,the patients with more water in respiratory tract underwent drainage,and we performed artificial respiration for partialventilation(CAB)by chest compressions.Results:The survival rate in the traditional group was50%,and the survival rate in theunconventional group was80%(P<0.05).Conclusion:Early chest compressions,timely drainage for patients with more water inrespiratory tract and artificial respiration for partial ventilation(CAB)by chest compressions were important measures to savedrowning children,and they can improve the success rate of treatment.