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目的分析在儿童重症监护病房(PICU)心肺复苏(CPR)的有效性及影响CPR存活率的因素。方法回顾性分析PICU发生呼吸心跳骤停而行CPR的临床情况,评价其与CPR存活率的关系。不包括仅用辅助正压通气或复苏药物而未施行胸外按压的病例。结果1998年4月至2004年8月间北京儿童医院PICU共258例患儿施行CPR,131例(50.8%)初步复苏成功,36例(14.0%)治愈出院。性别和年龄对存活率的影响差异无显著性。原发病及其合并症对存活率有显著影响。入PICU24h内及24h后行CPR其存活率分别为23.1%和17.4%;CPR时间≤5min,5～15min及≥5min的存活率分别为53.7%,23.5%和2.1%,差异均有显著性。CPR次数增多存活率下降。结论PICU行CPR后患儿的存活率较低。原发病及其合并症、复苏时间、复苏次数及入住ICU至心肺复苏时间是影响存活率的重要因素。
Objective To analyze the effectiveness of cardiopulmonary resuscitation (CPR) in children’s intensive care unit (PICU) and the factors affecting the survival rate of CPR. Methods The clinical situation of CPR in PICU during a sudden cardiac arrest was evaluated retrospectively to evaluate its relationship with CPR survival rate. Excludes cases of chest compression alone with positive positive airway pressure or resuscitation medications. Results From April 1998 to August 2004, 258 cases of PICR were performed in PICU of Beijing Children’s Hospital. 131 cases (50.8%) were initially resuscitated and 36 cases (14.0%) were cured. There was no significant difference in the effect of gender and age on survival rate. Primary disease and its complications have a significant impact on survival. The survival rates of CPR within 24 h and 24 h after PICU were 23.1% and 17.4%, respectively. The survival rates of CPR time ≤5 min, 5 ~ 15 min and ≥5 min were 53.7%, 23.5% and 2.1%, respectively. Increased CPR Survival Rate Decreases. Conclusion The survival rate of children with PICR after CPR is low. Primary disease and its complications, recovery time, the number of resuscitation and admission to CPR time is an important factor affecting the survival rate.