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目的:通过对猝死病例进行回顾性分析,提高对可能发生猝死病例的认识及预防猝死的发生。方法:对56例住院猝死患者猝死诱因、猝死发生的时间段及死亡形式、猝死前先兆、猝死病因、猝死前驱症状及心电图改变、急性生理和慢性健康状况(APPACHⅡ)评分进行分析。结果:56例中20例有诱因;入院24 h内死亡26例,病情稳定后突然死亡29例,术后死亡1例;猝死病因中心血管疾病38例;56例中有47例猝死前有不同程度的症状出现;急性生理和慢性健康状况(APPACHⅡ)评分平均(21.57±9.45)分,15分以上占76.78%,除1例3分,其余均在10分以上。结论:猝死患者常有明确的诱因;猝死前有不同程度的症状出现;APPACHⅡ评分较高。
OBJECTIVE: To retrospectively analyze the cases of sudden death, to improve the understanding of the possible cases of sudden death and to prevent the occurrence of sudden death. Methods: The causes of sudden death in sudden death, the time of sudden death, the death form, the cause of sudden death, the causes of sudden death, the causes of sudden death, the changes of sudden death and electrocardiogram, acute physiology and chronic health status (APPACHⅡ) were analyzed in 56 cases of sudden death in hospital. Results: Among the 56 cases, 20 cases had causes; 26 cases died within 24 hours after admission; 29 cases died suddenly after the condition was stable; 1 case died after operation; 38 cases died of central cardiovascular disease due to sudden death; 47 cases died before sudden death The average scores of acute physiology and chronic health status (APPACHⅡ) were 21.57 ± 9.45 and 15.7% respectively, with the exception of 3 cases in 1 case and the rest were all above 10 points. Conclusion: Sudden death patients often have a clear incentive; sudden onset of varying degrees of symptoms appear; APPACH Ⅱ score higher.