心跳呼吸骤停心肺复苏98例分析

Analysis of cardio-pulmonary resuscitation with heart arrest:A report of 98 cases

目的 :探讨影响心肺复苏成功的因素。方法 :对 98例心跳呼吸骤停实施心肺复苏者进行回顾性分析。结果 :影响心肺复苏成功的因素与基本生命支持 (BLS)和进一步生命支持 (ALS)实施尤其与气管插管的建立早晚、心肺复苏规范性有很大的相关性。本组显示急诊室内与院外心跳呼吸骤停心肺复苏成功率两者间及心跳呼吸骤停 10min内与 10min后行气管插管两者间差异均有显著性 (P <0 .0 0 5 ) ,而年龄与心肺复苏成败无明显关系 (P >0 .0 5 ) ,大剂量肾上腺素有利于心肺复苏的成功。结论 :加强心肺复苏知识普及教育 ,加强院前的急救能力 。

Objective:To study the factors affecting cardio pulmonary resuscitation(CPR) success.Methods:A retrospective analysis was carried out in 98 cases of heart arrest in emergency room.Results:Basic life support(BLS),advanced life support(ALS),endotracheal intubation's time and criterion of CPR were the important factors affecting CPR.The successful rate of CPR was significantly higher in the emergency room than that out of hospital,and the successful rate of endotracheal intubation in 10 min was also significantly higher than that 10 min later( P <0.005).The difference was not significant between the young and the old( P >0.05).High dosage of adrenaline was propitious to CPR.Conclusions:The key to increasing the successful rate of CPR is to popularize the knowledge of CPR,to strengthen the first aid out of hospital and to set up endotracheal intubation in time.