| 引用本文： |
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黄顺忠,何兰燕,杨文升,李锦忠,凌永体.影响现场徒手心肺复苏抢救效果因素分析[J].广西科学院学报,2008,24(1):53-55,58. [点击复制]
- HUANG Shun-zhong,HE Lan-yan,YANG Wen-sheng,LI Jin-zhong,LING Yong-ti.Analysis on the Effect of Emergency Resuscitation for Cardiac and Respiratory Arrest[J].Journal of Guangxi Academy of Sciences,2008,24(1):53-55,58. [点击复制]
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| 摘要: |
| 收集1996年至2005年百色市2家三级综合医院急诊科中有较完整抢救记录的心跳呼吸骤停患者病例一共138例,应用SPSS 11.0统计软件进行统计分析,研究实施现场徒手心肺复苏(CPR)抢救过程中原发疾病、心跳呼吸骤停至早期获得CPR帮助时间、实施不同抢救措施情况和开展群众性CPR技术普及前后对急诊心肺复苏抢救效果的影响。统计结果显示,在医院内发生心跳呼吸骤停而很快得到医务人员抢救22例,抢救成功10例,成功率45.45%;在医院外发生116例,得到第一目击者现场CPR抢救并等到急诊医护人员赶到的47例,抢救成功13例,成功率27.66%;而未得到第一目击者救治的69例,抢救成功10例,成功率14.49%。心源性停搏、严重创伤和脑卒中对心肺复苏成功率的影响最大,病死率分别达到82.86%、75.00%和81.82%。心跳呼吸骤停至获救的时间越短心肺复苏成功率越高,超过10min心肺复苏成功率降至2.90%以下。心跳呼吸骤停患者获得规范的早期CPR抢救、早期除颤、使用复苏药物和气管插管等抢救措施可以明显提高患者的救治成功率。开展群众性CPR技术普及教育工作后5年间心肺复苏抢救成功率为28.95%,明显高于开展CPR技术普及教育前的5年间的成功率(17.74%)。 |
| 关键词: 心跳呼吸骤停 徒手心肺复苏 基本生命支持 急诊 现场急救 |
| DOI： |
| 投稿时间：2008-02-25 |
| 基金项目:广西百色市科技计划重点项目(200607)资助。 |
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| Analysis on the Effect of Emergency Resuscitation for Cardiac and Respiratory Arrest |
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HUANG Shun-zhong, HE Lan-yan, YANG Wen-sheng, LI Jin-zhong, LING Yong-ti
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| (Affiliated Hospital of Youjiang Medical College for Nationality, Baise, Guangxi, 533000, China) |
| Abstract: |
| Statistic analysis is conducted on 138 patients with cardiac and respiratory arrest in emergency department of two hospital in Baise from Jan. 1996 to Dec. 2005. by using statistic software SPSS11.0. The result shows:10 of 22 cases (45.45%) with cardiac and respiratory arrest occuring in hospital are successfully saved. Among 116 cases occurring outside the hospital, 13 of 47 cases (27.66%) receiving the immediate CPR of first aid from the first witness are saved. 10 of 69 cases (14.49%) not receiving the immediate CPR of first aid from the first witness are saved. During the 5 years after CPR technique is widely carried out, the rate of resuscitation is 28.95%, which is obviously higher than that (17.74%) before CPR technique is widely carried out. |
| Key words: cardiac and respiratory arrest CPR base life support emergency first aid |
