12832例胸外科手术围麻醉期16例心跳骤停的回顾性分析.pdfVIP

Shanghai Med J, 2010, Vo . 33, No . 4 342 12 832 16 徐美英 张晓峰 沈耀峰 周波 朱宏伟 ! , 2002 7 - 2005 6 Access ( ) 2006 8 - 200 8 12 ( ) , 12 832 , 16 , 0. 12% , 0. 11% ( 6/ 5 301) , 0 . 13% ( 10/ 7 531) 12 ( 75% ) , , ; 4 ( 25% ) , 1 , 2 , 1 , 40107 39 min , , 100% 1 , 0 . 12% , , , ! ; ; ; A re t ro spe c t ive a na y sis of 16 pe riane st he sia c ardiac a rre st c ase s amo ng 12 832 t ho ra c ic s ur ge ry pa t ie nt s XU Meiy ing , ZHANG Xia o feng , SHEN Ya ofe ng , ZHOU Bo , ZHU Hong w e i . Depa rtment o f Anesthesio og y , S hang ha i Chest Ho spita , Sha ng hai J iao to ng Unive rsity , Sha ng hai 200030, China Co rresponding autho r : XU Me iying . Ema i : myxu 55 @y aho o . c om Abs t ra ct! Obj ec t iv e To retrospectively analyze the reasons of perianesthesia cardiac arrest in thoracic surgery patients and to summarize our experience in management of the condition, so asto enhance the anesthesia safety in thoracic surgery. Me t ho ds We retrospectively analyzed 12 32 thoracic surgery patients in anesthesia information management system ( AIMS) , and analyzed the reasons, managements and prognoses of the patients encountered perianesthesia cardiac arrest. Re s u t s Sixteen cases (0. 12%) encountered perianesthesia cardiac arrest, of which 12 cases were directly caused by operation, and cardiac resuscitation succeeded immediately. One case was caused by pericardial incarceration, 2 cases by operation plus unstable hemodynamics, and 1case probably by pulmonary embolism, with the cardiac resuscitation periods being 40, 10, 7 and 39 min respectively, and the treatm