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目的总结心肺复苏法抢救心脏骤停患者的体会,并分析影响抢救效果的因素。方法 100例心脏骤停急诊患者,均参照2010美国心脏协会心肺复苏及心血管急救指南给予心肺复苏抢救,评价心肺复苏的抢救效果,并分析其影响因素,总结抢救体会。结果 100例患者中,心肺复苏成功38例,失败62例,心肺复苏成功率为38%。心肺复苏成功组患者的平均年龄明显小于失败组,复苏开始时间及持续时间明显少于失败组,院内复苏比例明显高于失败组,急性呼吸衰竭患者比例明显低于失败组(P<0.05)。结论心肺复苏法抢救心脏骤停患者的关键在于保证心肺复苏的及时性、规范性、有效性,而影响治疗效果的因素主要包括患者的年龄、发病原因、复苏开始时间、复苏持续时间及复苏地点。
Objective To summarize the experience of resuscitation cardiopulmonary resuscitation in patients with cardiac arrest and analyze the factors that affect the efficacy of resuscitation. Methods A total of 100 emergency cardiac arrest patients were treated with cardiopulmonary resuscitation (CPR) guidelines according to the American Heart Association guidelines for cardiopulmonary resuscitation (CPR) and cardio-emergency guidelines. The rescue effects of CPR were evaluated and the influencing factors were analyzed. Results Of the 100 patients, 38 were successful in cardiopulmonary resuscitation, 62 failed, and the success rate of cardiopulmonary resuscitation was 38%. The average age of successful patients in CPR group was significantly less than that in failed group. The time and duration of resuscitation were significantly less than those in failed group. The rate of resuscitation in hospital was significantly higher than that in failed group. The percentage of patients with acute respiratory failure was significantly lower than that in failed group (P <0.05). Conclusions The key of resuscitation cardiopulmonary resuscitation is to ensure the timeliness, standardization and effectiveness of cardiopulmonary resuscitation (CPR). The main factors affecting the therapeutic effect include the patient’s age, reason of onset, the time of resuscitation, the duration of resuscitation and the location of resuscitation .