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目的探讨通过加强急诊和全院医护人员急救综合素质的培养教育、实际演练、配对组合以及仪器设备的合理利用强化急诊质量控制,提高院内猝死病例的复苏成功率。方法我院急诊科于2006年后根据医院管理年要求,不断完善急诊服务和操作流程,优化抢救环境和设施,通过对10名医生及20名护士进行2:1随机配对组合,经过心肺复苏、气管插管、呼吸机、电除颤等技能培训考核,再分批分次进行实战演练,充分利用现代急诊抢救设备实施院内急救。结果抢救121例院内猝死病例次,使院内猝死抢救的成功率从质量控制前的11.67%提高到26.23%,差异有统计学意义(P<0.05)。结论加强急诊质量控制能提高院内猝死病例的抢救成功率。
Objective To explore how to improve the success rate of recovery from sudden death in hospital by strengthening the education of emergency, general training of first aid for emergency attendants and the whole hospital, practicing exercises, pairing combination and rational utilization of instruments and equipment. Methods The department of emergency department of our hospital continued to improve the emergency services and operational procedures according to the requirements of hospital management in 2006 and optimized the rescue environment and facilities. After a 2: 1 randomized pairing combination of 10 doctors and 20 nurses, after cardiopulmonary resuscitation, Tracheal intubation, ventilator, defibrillator and other skills training and assessment, and then sub-batches of combat exercises, make full use of modern emergency rescue equipment for hospital emergency. Results Rescue 121 cases of sudden death in hospital, so that the success rate of sudden death in hospital from quality control before the 11.67% to 26.23%, the difference was statistically significant (P <0.05). Conclusion Strengthening emergency quality control can improve the success rate of rescue cases of sudden death in the hospital.