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目的进一步探讨综合治疗对脑复苏的影响,以提高CPCR的成功率。方法我们对1996年～2006年间90例脑复苏患者进行了回顾性分析,初步分析综合治疗措施与预后的关系。结果90例患者,复苏成功34例,占37.7%;死亡24例,占26.70%;自动出院32例,占35.6%。在复苏成功的幸存者中,有9例出现不同程度的持久性脑损害,占26.5%,其中3例成植物人。结论低温、高压氧治疗、脱水剂、皮质激素足量早期应用等均是脑保护的重要手段,早期低温疗法可提高复苏的成功率,并有脑保护作用,这有利于进一步的脑功能恢复,心跳停止后进行复苏的时间越及时,措施越有利,则复苏的成功率越高。
Objective To further explore the effect of comprehensive treatment on cerebral resuscitation in order to improve the success rate of CPCR. Methods We retrospectively analyzed 90 cases of cerebral resuscitation from 1996 to 2006, and analyzed the relationship between the comprehensive treatment and prognosis. Results 90 patients, 34 cases of successful resuscitation, accounting for 37.7%; 24 died, accounting for 26.70%; 32 cases were discharged automatically, accounting for 35.6%. Of the survivors who recovered successfully, 9 patients suffered from persistent brain damage in varying degrees, accounting for 26.5%, of which 3 were vegetative. Conclusion Low-temperature and hyperbaric oxygen therapy, dehydrating agents and adequate early application of corticosteroids are both important means of cerebral protection. Early hypothermia can improve the success rate of recovery and protect the brain, which is conducive to further brain function recovery, The more timely the resuscitation after the cessation of the heartbeat, the more favorable the measures, the higher the success rate of recovery.