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根据笔者近几年所遇到的109例老年猝死复苏资料分析,31例存活并做部分随访。结合文献就抢救中若干问题进行探讨: 1.临危症象及转归 31例猝死中均有严重心律失常心电图证据。其中室颤19例,自搏心律5例,心脏停搏7例。3/4有先兆及精神因素。除门诊和院外各2例外,其余均发生于住院中。且均于5分钟内赶到或即刻行有效胸外按压、人工呼吸。心脏复苏成功率达82.2％,存活率28.3％,存活最短者11小时,最长5年,平均1.6年。目前生存者19人,正常工作者8人。
According to the author in recent years encountered 109 cases of sudden death in senile data analysis, 31 patients survived and did some follow-up. With the literature on the rescue of a number of issues to be discussed: 1. Probability and prognosis of sudden death in 31 cases were severe arrhythmia ECG evidence. Among them, 19 cases of ventricular fibrillation, 5 cases of spontaneous cardiac rhythm, cardiac arrest in 7 cases. 3/4 has aura and mental factors. In addition to the outpatient and outpatient 2 cases, the rest occurred in the hospital. And were rushed within 5 minutes or immediately effective chest compression, artificial respiration. Cardiac resuscitation success rate of 82.2%, the survival rate of 28.3%, the shortest survival of 11 hours, up to 5 years, an average of 1.6 years. Currently there are 19 survivors and 8 normal workers.