EM-253---影响心脏骤停患者预后的因素分析和其心肺复苏体会-杜学宏.pdfVIP

影响心脏骤停患者预后的因素分析及其心肺复苏体会 杜学宏 摘要：目的 探讨影响心脏骤停(CA)患者预后的因素及其心肺复苏(CPR)体 会。方法 选取2005 年5 月~2009 年 1 月经急诊CPR 治疗的60 例患者，回 顾性分析其临床资料，探讨患者年龄、发病地点、CPR 开始实施的时间、是否由 目击者实施CPR 术等对患者预后的影响。结果 60 例 CA 患者中，死亡 51 例 (85.00%)，成功出院5 例(8.33%)，植物人状态4 例，合计存活者9 例(15.00%) 。 院内患者、20~60 岁患者、5 min 内开始CPR、现场目击者第一时间实施CPR 均 有利于CPR 成功及患者存活，是CA 患者CPR 成功及存活的正向因素(P ＜0.05) 。 结论 发病地点、患者年龄、CPR 开始时间、现场有无目击者第一时间实施CPR 均是影响 CA 患者预后的相关因素，在抢救过程中始终应注意并强调“时间窗”和 “生存链” 的重要性，给予患者必要的生命支持，方可进一步提高患者的CPR 成功 率和存活率。 关键词：心脏骤停；心肺复苏；预后；时间窗 Factors analysis on influencing prognosis of patients with cardiac arrest and experience on implementation of cardiopulmonary resuscitation Abstract: Objective To explorer the factors on influencing prognosis of patients with cardiac arrest (CA) and experience on implementation of cardiopulmonary resuscitation (CPR).Methods60 patients with CA treating by emergency CPR from May 2005 to Janunary 2009 were selected, and the clinical data were retrospectively analyzed, factors on influencing prognosis were explored, including patients’ age, onset location, time to start CPR, with or without witnessduring onset. Results In 60 cases of CA, 51 cases (85%) died, 5 cases (8.33%) were successfully discharged, 4 cases with vegetative state, and 9 patients survived (15%). Patients inhospital, aged 20~60 patients, in 5 minutes to start CPR, witness performing CPR were allpositive factors on successfully implenting CPR and patients’ survival(P ＜ 0.05). ConclusionOnset locations, patient age, CPR’s start time, with or without witness during onset are all the relating factors influencing CA patients’ prognosis, and during the rescue process, survival chainand time window should always be emphasized to give necessary life supports, to improve CA pat