作　　者： (）;

机构地区： 廉江市人民医院

出　　处： 《临床医学工程》 2019年第4期513-514,共2页

摘　　要： 目的探讨心脏骤停患者应用肾上腺素及电除颤、心肺复苏的有效性。方法选取我院2016年1至2017年12月收治的80例心脏骤停患者,所有患者入院后均立即给予肾上腺素及电除颤、心肺复苏治疗,根据最终抢救结果分为有效组56例与无效组24例,比较两组的临床救治情况以及不同心肺复苏时机的抢救成功率。结果两组患者的出血量比较,差异无统计学意义(P>0.05);有效组的心脏停搏时间、抢救时间均显著短于无效组,心肺复苏循环次数、肾上腺素注射剂量、电除颤次数均显著少于无效组(P <0.05)。心肺复苏时机≤1 min者的抢救成功率显著高于心肺复苏时机> 1 min者(P <0.05)。结论肾上腺素、电除颤及心肺复苏在抢救心脏骤停患者中具有重要作用,建议心肺复苏时机应≤1 min,有利于提高患者存活率。 Objective To explore the effectiveness of epinephrine,electrodefibrillation and cardiopulmonary resuscitation(CPR)in patients with cardiac arrest.Methods A total of 80 cases of patients with cardiac arrest admitted to our hospital from January 2016 to December 2017 were selected.All patients received epinephrine,electrodefibrillation and CPR immediately after admission.According to the final rescue results,all patients were divided into effective group(56 cases)and ineffective group(24 cases).The clinical rescue situations were compared between the two groups,and the rescue success rates of different CPR timing were compared.Results No statistical difference was found between the two groups in the blood loss volume(P>0.05).The cardiac arrest time and rescue time of effective group were significantly shorter than those of ineffective group,and the number of CPR cycles,epinephrine injection dose and number of electrodefibrillation were significantly lower than those of ineffective group(P<0.05).The rescue success rate of patients with CPR timing≤1 min was significantly higher than that of patients with CPR timing>1 min(P<0.05).Conclusions Epinephrine,defibrillation and cardiopulmonary resuscitation have important effect in the rescue of patients with cardiac arrest.The timing of cardiopulmonary resuscitation is suggested to be≤1 min,which is conducive to improving the survival rate of patients.

关 键 词： 心脏骤停 肾上腺素 电除颤 心肺复苏 有效性

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