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目的探讨院前急救心肺复苏过程中常见因素对预后的影响。方法回顾性总结本中心2008年6月～2009年6月234例心肺复苏患者的临床资料。结果患者年龄、复苏应急时间、有无第一目击者心肺复苏(CPR)、实施CPR急救人员构成以及现场是否充分开展肌萎缩侧索硬化(ALS)检查等对成功率有较大影响。结论患者的年龄越小、复苏应急时间越短、急救人员采取措施越及时到位,成功率越高;缩短急救半径、普及CPR技术、完善急救人员配置、采取规范化培训以及规范化管理,才能不断提高复苏的成功率和存活率。
Objective To investigate the influence of common factors on the prognosis of pre-hospital emergency CPR. Methods The clinical data of 234 patients with cardiopulmonary resuscitation from June 2008 to June 2009 in our center were retrospectively reviewed. Results The patient success rate was significantly influenced by the patient’s age, emergency response time, the presence or absence of the first eyewitness cardiopulmonary resuscitation (CPR), the composition of the CPR emergency personnel, and the adequacy of the ALS test in the field. Conclusion The shorter the patient’s age, the shorter the emergency resuscitation time, the more prompt the emergency personnel will take the measures, the higher the success rate is. Only by shortening the radius of first aid, popularizing CPR technology, improving the configuration of emergency personnel, adopting standardized training and standardized management can we continuously improve the recovery The success rate and survival rate.