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目的为了解我院心肺复苏(CPR)现状,分析影响心肺复苏成败的相关因素,探讨提高心肺复苏成功率的有效方法。方法对本院2002至2008年6年来记录完整的686例患者CPR资料进行回顾性研究。对疾病种类、CPR开始时间、复苏药物、电击除颤、气管插管、心肺复苏成功率及脑复苏成功率等数据进行统计与分析。结果创伤后CPR病例数量居首位;心脏停搏时间大于10min者CPR成功率明显低于10min内开始CPR者(P<0.05);322例复苏成功,CPR成功率为44.02%,24h生存率12.2%,脑复苏成功率仅5.4%;CPR成功率与心脏停搏时间、有无气管插管接呼吸机、有无早期电除颤等有关。结论CPR成功率较低,脑复苏成功率则极低,早期生命支持“生存链”未得到切实应用;尽早识别心跳骤停、及早CPR、及早气管插管和及早电击复律是心肺复苏成功的关键。
Objective To understand the status of cardiopulmonary resuscitation (CPR) in our hospital and analyze the related factors that influence the success or failure of CPR and to explore an effective way to improve the success rate of CPR. Methods A retrospective study was conducted on the CPR data of 686 patients with complete records from 2002 to 2008 in our hospital from 2002 to 2008. The types of diseases, CPR start time, resuscitative drugs, electric shock defibrillation, endotracheal intubation, CPR success rate and success rate of cerebral resuscitation and other data were statistically analyzed. Results The number of CPR cases after trauma was the highest. The success rate of CPR when cardiac arrest time was more than 10min was significantly lower than that of CPR within 10min (P <0.05). The success of 322 cases was successful, the success rate of CPR was 44.02%, 24h survival rate was 12.2 %, Success rate of brain resuscitation was only 5.4%; CPR success rate and cardiac arrest time, with or without endotracheal intubation ventilator, with or without early defibrillation and so on. Conclusions The success rate of CPR is low, the success rate of cerebral resuscitation is extremely low, and early life support “survival chain ” has not been effectively applied. Early identification of cardiac arrest, early CPR, early tracheal intubation and early cardioversion are cardiopulmonary resuscitation the key to success.