心跳呼吸骤停患者心肺复苏术后的预后分析

摘要

Objective To analyze characteristics and outcomes of cardiopulmonary resuscitation (CPR) of cardiopul-monary arrest patients treated in our hospital to explore ways to improve CPR success rate and the level of brain re-covery. Methods Etiology of 167 cases of cardiopulmonary arrest patients CPR performed in our hospital from January 2009 to May 2013 were retrospectively analyzed.Depending on the location of onset,patients were divided into general ward group and emergency room group.CPR and brain recovery success rate between two groups was compared respec-tively. Results 167 cases of patients,unexplained sudden death was most common(33.5%),followed by other medical dis-orders(21.6%) and cardiovascular disease(18.6%).Cerebral resuscitation success rate was 6.7%.Electrical injury rates in ROSC and cerebral resuscitation highest success rate were 38.1% and 28.6%.Emergency room group CPR success rate and cerebral resuscitation success rate was higher than of general ward group respectively (P<0.05). Conclusion CPR and resuscitation has low success rate,thus to improve the success rate of cardiopulmonary resuscitation.It is crucial to enhance first aid literacy and further improve first aid techniques of medical personnel.%目的：分析本院救治心跳呼吸骤停患者的特点及心肺复苏结果，探讨如何提高心肺复苏术（CPR）后患者CPR成功率及脑复苏水平。方法回顾性分析2009年1月~2013年5月本院救治的167例心跳呼吸骤停患者CPR病因；根据患者发病地点不同，将其分为急诊室组和普通病房组，比较CPR及脑复苏成功率。结果167例患者中，不明原因猝死所占比例最高（33.5%），其次为其他内科疾病（21.6%）和心血管疾病（18.6%）。脑复苏成功率为6.7%，自主循环恢复及脑复苏成功率最高为电击伤，分别为38.1%和28.6%。急诊室CPR成功率及脑复苏成功率均高于普通病房（P<0.05）。结论CPR及脑复苏成功率较低，加强急救知识普及、进一步提高医务人员的急救技术对提高心肺复苏成功率具有至关重要的意义。