摘要
目的：总结８例心肺复苏成功患者中西医结合疗法的经验。方法：８例心脏停搏患者均按心肺复苏（ＣＰＲ）程序，在取得第２期复苏成功（恢复自动心搏）基础上，第３期抢救措施，治疗原发病及并发症均施行中西医结合疗法进行辨证施治。结果：１例急性心肌梗死、２例冠状动脉粥样硬化性心脏病、１例急性乙醇中毒患者在３小时后意识清醒，４８小时后生命体征平稳；１例（６７岁）心肌梗死患者３小时后自主呼吸恢复，５小时后意识清醒，因Ⅲ度房室传导阻滞安装临时心脏起搏器，于第２日后房室传导阻滞消失，于第４日去除起搏器，病情稳定；１例煤酚皂溶液中毒、１例肺源性心脏病患者分别于８小时和６小时后清醒；１例高血压脑出血患者第３日病情稳定，２周后意识逐渐清醒。８例患者１～２个月出院，均无后遗症。结论：在ＣＰＲ第１、２期复苏成功基础上第３期治疗施行中西医结合疗法，辨证施治，充分运用现代中西药物优势，可以最快速度实施复苏术，不失时机地治疗原发病及并发症，提高心肺复苏成功率。
Objective:To summarize the experences of success on cardiac pulmonary resuscitation(CPR) for 8 cases with therapeutic method of integrated traditional Chinese and western medicine(TCM WM).Methods:8 patients with cardiac arrest were rescued according to the sequences of CPR.On the basis of achicving successful resuscitation (recovering automatic heart beats) of the second phase,the rescuing measures of the third phase,including treating primary diseases and compliations,were carried out using therapeutic method of TCM WM (TCM syndrome differentiation treatment).Results:The consciousness became awake in one case with acute myocardial infarction (AMI),2 cases with coronary atherosclerosis heart disease(CAHD) and one case with acute intoxication of alcohol 3 hours latter then their vital signs got stable 48 hours latter.In one case with AMI (67 years old) the automatic respiration was recovered 3 hours latter,the consciousness became awake 5 hours latter,and the temporary pacemaker was installed because of Ⅲ degree AV block.The AV block was disappeared 2 days latter therefor the pacemaker was removed on the fourth day,the patients′s conditions were stable.In one case with intoxication of lysol,one case with cor pulmonale the consciousness became awake in 8 hours and 6 hours respectively.In one cases with cerebral hemorrhage induced by hypertension the patient′s conditions were stable on the third day then the consciousness became awake gradually.8 cases were discharged within 12 months and all of them had no sequelae.Conclusions:On the basis of successful CPR during the first and second phase,the therapeutic method of TCM WM (TCM syndrome differentiation treatment) is carried out in the third phase.The superiority of western medicine can be fully used;resuscitation techniques put into practice in the most quick speed;primary diseases and complications treated losing no time;and successful rate of CPR elevated.
关键词
心脏停搏
心肺复苏
中西医结合治疗
cardiac arrest\ \ cardiac pulmonary resuscitation\ \ integrated traditional Chinese and western medicine therapy\ \ TCM syndrome differentiation treatment
