心脏骤停47例临床分析

Clinical analysis of 47 patients with cardiac arrest

关键词:  心脏骤停  6 min与存活率  急救治疗

Key words:  cardiac arrest  6 minutes and survival rate  first-aid

摘要:

［目的］探讨心脏骤停的临床特点、ECG类型、骤停6 min与存活率关系、急诊急救措施。［方法］回顾性分析2000～2005年大连市沙河口区医院心脏骤停47例患者的临床资料，并予以统计学分析。［结果］心脏骤停47例，死亡23例，0～6 min内开始实施CPR者25例，死亡4例，存活率84.0%，6～30 min内19例，死亡16例，存活率15.8％，心脏骤停6 min内存活率明显高于6～30 min存活率（P＜0.01）。［结论］各种致病因素引起的心脏骤停院前急救和院内急救6 min内开始实施至关重要。

Abstract:

［Objective］To investigate clinical feature,type of ECG, survival rate in 6 minutes after cardiac arrest, first-aid measure of emergency of cardiac arrest. ［Methods］This article analyzed retrospectively clinical data of 47 patients with cardiac arrest from 2000 to 2005 in Shahekou hospital,dalian and analyzed it with statistical methods. ［Results］47 patients with cardiac arrest,23 patients death.25 patients perform CPR between 0～6 minutes, 4 patients death, survival rate 84.4.19 patients between 6～30 mintues,16 patients death, survival rate 15.8%,survival rate in 6 minutes is obviously higher than 6～30minutes after cardiac arrest　( P <0.01 ). ［Conclusion］Six minutes first-aid out and in hospital iscritical important in cardiac arrest caused by various pathopoiesis factors.