241例心跳骤停与心肺脑复苏的回顾性分析

Retrospective analysis of cardiac arrest and cardiopulmonary cerebral resuscitation in 241 cases in the past 12 years

目的 探讨心跳骤停患者的临床特点及救治经验 ,以提高心肺脑复苏成功率。方法 回顾性分析我科 1990年 10月至 2 0 0 2年 10月十二年间院内及院外急救的 2 4 1例心跳骤停患者的临床资料 ,初步分析治疗与预后的关系。结果 2 4 1例心跳骤停患者中 ,初步复苏成功 10例 ,最终复苏成功 (心肺脑均复苏 )仅 4例 ,复苏率分别为 4 6 2 %、 1 82 %。 1990至 1998年间复苏成功率较低 ,初步复苏成功率 1 38% ,最终复苏成功率 0。 1999至 2 0 0 2年间复苏成功率明显提高 ,初步复苏成功率 8 2 4 % ,最终复苏成功率 4 12 %。自 1998年我科开展院外急救以来 ,尚无一例院外心跳骤停者复苏成功。结论 心跳骤停患者抢救成功与否与抢救人员专业水平、抢救开始时间、抢救措施正确与否。

Objective By reviewing the clinical characterstis and resuscitation experience of cardiac arrest patients,to improve ratio of successful cardiopulmonary resuscitation.Methods A retrospective analysis of 24l cardiac arrest patients resuscitated in our hospital from October 1990 to October 2002 were carried out. Results In 241 cardiac arrest cases,initial resuscitation was successful in 10 cases,final resuscitation(cardiapulmonary cerebral resuscitation) was successful only in 4 cases.The successful ratio of initial resuscitation was 4.62%,but the final was 1.82%.The successful ratio of resuscitation was lower in 1990-1998,and its initial rate was 1.38%,but the final rate was 0 only.The successful ratio of resuscitation was obviously improved during 1999-2002,the initial rate was 8.24%,and the final rate was 4.12%.All the data above was from cases in hospital.Since 1998,none of the cardiac arrest patients was successfully resuscitated out of our hospital.Conclusion The success ratio in resuscitating cardiac arrest cases is closely related to the rescuers' skill, the time to and method of rescue, early defibrillation for ventricular fibrillation and primary disease.