58例心搏骤停患者的调查分析

Investigation and analysis of 58 cases of cardiac arrest

目的分析心搏骤停患者相关因素的特征,为进一步治疗提供依据,以期提高防范和救治水平。方法回顾性分析皖南医学院附属铜陵市人民医院2019年1月至2020年9月入重症医学科的58例心搏骤停患者的一般情况,对心搏骤停的原因、复苏时间、救治情况等数据资料进行整理并统计分析。结果在纳入的58例患者中,男性多于女性,男女比例约为2∶1;年龄以70岁以上为主(占50%);心源性因素是心搏骤停的最主要原因(占36%)。复苏成功时间在10 min以内的患者最多,有19例(约占33%);未复苏成功的8例(约占14%);完全康复的6例(约占10%)。结论心搏骤停患者以成年男性为主,心源性因素是心搏骤停的最主要原因,虽多数患者能够复苏成功,但总体预后不佳。针对以上因素进行防范和救治,以减少心搏骤停的发生和降低病死率。

Objective Analyze the characteristics of related factors in patients with cardiac arrest,to improve prevention and treatment.Methods Retrospective analysis of the general condition of the 58 patients with cardiac arrest who were admitted to the department of critical care medicine in the People's Hospital of Tongling City affiliated Wannan Medical College from january 2019 to september 2020,and made statistics on the causes of cardiac arrest,recovery time,and treatment.Results Among the 58 patients,male is more than female,ratio of male to female was about 2∶1,and patients aged over 70 years accounted for 50%.Cardiogenic factor was the main cause of cardiac arrest,accounting for 36%.There were 19 patients whose resuscitation time was less than 10 minutes,accounting for 33%.8 cases failed to recover,accounting for 14%;6 cases were fully recovered,acounting for 10%.Conclusions The majority of patients with cardiac arrest are adult males,and cardiogenic factors are the main causes of cardiac arrest.Although most of them can recover successfully,the overall prognosis is poor.Therefore,prevent and treat the above factors to reduce the incidence and mortality of cardiac arrest.