《2005國际CPR与心血管急救指南》在临床中的应用.docVIP

《2005国际CPR与心血管急救指南》在临床中的应用 ——附50例报告　 甘肃省静宁县人民医院急诊科（743400） 刘志信1，樊忠2， 张志高3， 范康武 [摘要] 目的 应用《2005国际CPR与心血管急救指南》（以下简称指南）指导临床急救工作并推广、普及该技术，提高复苏成功率。方法 回顾分析我院急诊科2006-01~2009-02心脏骤停患者50例。所有患者均以指南为标准进行复苏，按效果分为复苏失败组（A）组、复苏成功组（B）组、存活出院组（C）组，分析指南的精髓（尽早复苏、尽早除颤、尽早呼吸支持、持续有效的胸外心脏按压和早期脑复苏、药物的合理应用）与复苏成功率之间的关系。 结果 患者复苏开始时间，除颤、插管的比例和时间，抢救时间与各组病例的预后比较差异有统计学意义。A组与B组和C组比较各项指标的差异(P＜0.01)，B组与C组比较各项指标的差异（P＜0.05）。复苏成功9例，存活出院3例。总复苏成功率（自主循环恢复）24%，存活出院率6%。 结论 指南的合理应用使复苏成功率明显提高，其在心肺复苏中有重要的指导价值。 [关键词] 急救指南； 心肺复苏；临床分析； The clinical using of The International CPR and Cardiovascular Emergency Guide in 2005 . ------ the report of 50 cases. Liou Zhi-xin, Fan Zhong, Zhang Zhi-gao, Fan Kang-wu. Department of Emergency, People’s Hospital of Jingning County, Gansu 743400, China [Abstract] Purpose Using The International CPR and Cardiovascular Emergency Guide in 2005(short for Guide ) to guide clinical emergency, generalization and popularization the technology, increasing the rate of successful resuscitation. Method Retrospect and analysis 50 cases SCA(sudden cardiac arrest) patients in our Emergency Department from 2006.01 to 2009.02. All of patients are resuscitated with The Guide. According to the effect, dividing them into group of failing resuscitation(group A), group of successful resuscitation(group B), group of survival and leave hospital(group C). Discussion relation of the soul of The Guide(earlier resuscitation, earlier defibrillation, earlier respiration support, persistent and effective heat press on chest, earlier cerebral resuscitation and make good use of drug) and the rate of successful resuscitation. Result The time of begin to resuscitate, the proportion and starting time to defibrillate and to insert tube into trachea, and time using to fist-aid, which compare with prognosis of all groups , the difference have significant mean of statistic. The difference of all indexes group A compare with group B and group C(P0.01), The difference of all indexes group B compare with gr