论文部分内容阅读
目的针对心肺复苏领域三个热点问题进行相关的临床研究,旨在提高心肺复苏质量。方法总结分析2001年1月-2010年1月通辽市医院收治的心肺复苏462例患者,针对CPR与除颤优先次序选择,院前、院内急救小组建设,生存链落实情况三个方面进行探讨。结果 462例中154例恢复心搏时间是3～40 min;154例患者中97例恢复呼吸,恢复自主呼吸时间是10 min～48 h,97例心肺复苏(CPR)成功的患者中62例患者恢复意识,恢复时间是1～72 h。结论①心室颤动(VF)波形是CPR与除颤优先次序决定因素。②加强院前院内急救小组建设,可提高心肺复苏效率。急救小组分工协作是CPR保证。③彻底落实生存链,是提高CPR成功率的关键措施,可明显改善患者预后。
Objective To carry out related clinical studies on three hot issues in cardiopulmonary resuscitation in order to improve the quality of cardiopulmonary resuscitation. Methods A total of 462 CPR patients admitted to Tongliao Hospital from January 2001 to January 2010 were analyzed retrospectively on three aspects: CPR and defibrillation priority selection, prehospital and first aid team construction and survival chain implementation. Results 154 cases of 462 patients recovered from 3 to 40 minutes; 97 of 154 patients recovered from resuscitation, the time of spontaneous respiration was 10 to 48 hours, and 62 of 97 patients with successful CPR Recovery consciousness, recovery time is 1 ~ 72 h. Conclusions ① Ventricular fibrillation (VF) waveform is the decisive factor in the priority of CPR and defibrillation. ② Strengthen the hospital front hospital emergency team building, can improve the efficiency of cardiopulmonary resuscitation. First aid team division of labor is CPR guarantee. ③ The complete implementation of survival chain, is to improve the success rate of CPR key measures can significantly improve the prognosis of patients.