摘要
目的 对国外推荐的院内Utstein模式的适用性及影响复苏预后有关因素等进行初步的探讨。方法 前瞻性研究本部门一年内心肺复苏抢救的情况。结果 ① 2 0 0 0年中山医科大学附一院急诊科内执行心肺复苏抢救 2 2 8例 ;属于心源性起病者 6 4例 ,6例 (9 4% )存活出院 ;心源性患者中以室颤为初始心电图者 2 1例 ,4例 (19 0 % )存活出院。②心源性发病、以室颤为初始心电图、气管插管是影响预后的有利因素 ,开始复苏间期、开始使用肾上腺素间期、开始除颤间期越短 ,预后越好。结论 ①此模式在应用于本部门的心肺复苏研究过程中体现出较好的可行性。②为了提高心肺复苏的成功率 ,对确诊为心搏骤停的患者应尽早开始复苏、尽早使用肾上腺素、室颤患者应尽早行电击除颤。
Objective Evaluate the feasibility of the recommended Utstein style and analyze the factors influencing the prognosis of cardiopulmonary resuscitation(CPR).Methods Study the CPR treatment in the emergency department(ED)for one year prospectively.Results CPR was attempted in 228 cases in ED during the year 2000.64 had cardiac aetiology, 6(9 4%) of them were discharged alive.Among the cardiac aetiology group,21 had VF(ventricular fibrillation)as initial rhythm,4(19 0%) of them were discharged alive.Among those with cardiac aetiology,VF as the initial rhythm,intubation was beneficial to the prognosis.The interval from collapse to starting CPR,first administration of epinephrine,first defibrillation were also associated with outcomes,shorter intervals produced better outcomes.Conclusion The use of the Utstein style in our ED demonstrates that it is feasible. To improve the CPR survival rate,early CPR,early use of epinephrine,and early defibrillation should be applied to the cardiac arrest patients.Endotracheal intubation is recommended for the patient without spontaneous respiration after basic CPR.
出处
《中华急诊医学杂志》
CAS
CSCD
2001年第6期367-369,共3页
Chinese Journal of Emergency Medicine
关键词
UTSTEIN模式
心博骤停
心肺复苏
应用研究
Utstein style
Cardiac arrest
Cardiopulmonary resuscitation
Application research
