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目的总结院前心肺复苏经验。方法选择24例猝死患者,参照2005年国际心肺复苏指南,在院前进行CPR、除颤、气管插管、药物复苏,并对此进行回顾分析。结果现场心肺复苏死亡17例;成功4例。结论早呼救、早CPR、早除颤、早ACLS是提高猝死患者存活率的关键;院前急救专业人员ACLS水平、操作技术的熟练掌握对复苏成功具有重要意义;必须加强普及市民CPR工作。
Objective To summarize the experience of prehospital CPR. Methods 24 cases of sudden death were selected. According to the 2005 International Cardiopulmonary Resuscitation Guidelines, CPR, defibrillation, endotracheal intubation and drug resuscitation were performed before the hospital, and the retrospective analysis was conducted. Results: 17 cases died of cardiopulmonary resuscitation; 4 cases were successful. Conclusion Early call for help, early CPR, early defibrillation and early ACLS are the keys to improve the survival rate of patients with sudden death. The ACLS level of pre-hospital emergency professionals and the mastery of operating skills are important for the success of resuscitation. The popularization of CPR must be strengthened.