54例心脏性猝死的临床分析

摘要

目的：分析心脏性猝死(SCD)的临床特点、危险因素和心肺复苏治疗情况。方法：54例住院SCD患者，分析其常见病因、诱因、心电图表现和心肺复苏成功率。结果：54例SCD患者，最常见的病因为冠心病41例(75.9%)，即时心电图示室颤为主，经心肺复苏、电除颤、急诊冠脉支架等处理，54例SCD中16例恢复自主循环，6例存活出院，存活率为11.1%。结论：老年、急性冠脉综合征、电解质紊乱合并多种疾病是导致SCD的重要诱发因素。心电图显示复杂性室性心律失常、室内多束支阻滞等应注意SCD，尽早除颤是提高SCD抢救成功的关键。%Objective:To analyze the sudden cardiac death(SCD) clinical characteristics,risk factors and cardiopulmonary resuscitation treatment. Method:54 patients with SCD in hospital were analyzed the common cause,incentive and performance of electrocardiogram and the success rate of cardiopulmonary resuscitation.Result:54 cases of SCD,41 cases(75.9%) were coronary heart disease,which were the most common disease,real-time electrocardiogram showed ventricular fibrillation,such as processing of the cardiopulmonary resuscitation,electrical shock,emergency coronary stents,16 cases of spontaneous circulation was recovery in 54 cases of SCD,6 cases survived,the survival rate was 11.1%.Conclusion:Elderly,acute coronary syndrome,electrolyte disorder with a variety of diseases is an important causative factor in SCD. Complexity of the electrocardiogram of ventricular arrhythmia,indoor bundle branch block should be paid attention to SCD,early defibrillation is the successful key to improve the SCD rescue.