体外心肺复苏急救流程在急诊呼吸心搏骤停患者中的应用

Application of ECPR Emergency Procedure in Emergency Respiratory and Cardiac Arrest Patients

目的分析体外心肺复苏(ECPR)急救流程在急诊呼吸心搏骤停患者中的应用效果。方法研究时间为2015年1月—2018年8月,共纳入研究对象27例,均为院外呼吸心搏骤停患者,采用ECPR急救流程开展急救治疗,分析其自主循环恢复率、终点死亡事件、存活率,跟踪随访了解其预后情况。结果 27例患者中26例患者自主循环恢复,自主循环恢复率为96.3%。21例(77.8%)患者因疾病原因、中枢神经系统损伤或感染诱发多器官功能衰竭最终死亡。6例存活出院,存活率达22.2%。存活的6例患者经跟踪随访1个月后神经系统状态良好5例(18.5%)。结论 ECPR急救流程应用于急诊呼吸心搏骤停患者的抢救治疗对提高呼吸心搏骤停患者的自主循环恢复率、存活率有良好帮助。

Objective To analyze the effect of ECPR emergency procedure in patients with respiratory and cardiac arrest.Methods From January 2015 to August 2018,27 patients with respiratory and cardiac arrest were enrolled in the study.The patients were treated with ECPR first aid procedure,and their spontaneous circulation recovery rate,terminal death event and survival rate were analyzed.Follow up the prognosis.Results Among the 27 subjects,26 patients recovered their autonomic circulation,and the recovery rate of autonomic circulation was 96.3.21(77.78%).The injury of central nervous system was caused by disease.Among the 27 patients,6 survived and discharged,and the survival rate was 22.2%patients.After a month follow-up,5 patients were in good state of nervous system,and 18.5%patients had been followed up.Conclusion The ECPR procedure can improve the recovery rate and survival rate of patients with respiratory and cardiac arrest.