论文部分内容阅读
目的 评价A(airway)、B(breath)、C(circulation)抢救步骤在心脏疾患致心搏骤停患者心肺脑复苏 (CPCR)中的价值。方法 收集因心脏疾患致心搏骤停行CPCR患者的临床资料 (4 4例 ,男 2 9例 ,女 15例 ,年龄 40～ 85岁 ,平均 70 .0± 11.6岁 ) ,按照CPCR实际操作过程中所采取的ABC先后顺序不同 ,将患者分为C、CAB、AB、ABC组。CAB组中 ,按照C与AB步骤采取的间隔时间不同 ,分 <5min、5～ 10min、>10min组。统计各组Ⅰ、Ⅱ、Ⅲ期复苏成功率 (% ) ,χ2 检验统计各组复苏成功率差异显著性。结果 C组 (32例次 ,11例 )中 ,各期复苏成功率均 >87.5 % ,显著高于其它各组 (P <0 .0 1)。CAB组 (2 4例 )C -AB间隔时间不等 ,各期复苏成功率不等 ,C -AB <5min组各期复苏成功率明显高于 >5min组 (P <0 .0 5～ 0 .0 1)。AB组 (3例 )与ABC组 (6例 )各期复苏成功率 33.3%～ 10 0 % ,显著高于CAB组 (P <0 .0 1)。结论 CAB是心脏疾患致心搏骤停患者CPCR中可取的抢救步骤 ,但 5min可能是进行有效人工通气的极限
Objective To evaluate the value of airway, breath and C (resuscitation) procedures in cardiopulmonary resuscitation (CPCR) patients with cardiac arrest caused by heart disease. Methods The clinical data of 42 patients (29 males and 15 females, aged 40-85 years, mean 70.0 ± 11.6 years) with heart-stroke-induced cardiac arrest were collected. According to the actual operation of CPCR In the order taken by ABC different, the patients were divided into C, CAB, AB, ABC group. CAB group, according to C and AB steps taken at different intervals, points <5min, 5 ~ 10min,> 10min group. Statistics success rate (%) of Ⅰ, Ⅱ, Ⅲ resuscitation in each group, χ2 test statistically significant difference in the success rate of resuscitation. Results In group C (32 cases, 11 cases), the success rates of resuscitation in each phase were all higher than 87.5%, significantly higher than those in other groups (P <0.01). The C-AB interval time ranged from CAB to CAB, and the successful rates of recovery in different periods were different. The success rate of C-AB <5min group was significantly higher than that of> 5min group (P <0.05-0.0). 0 1). The success rate of resuscitation in each group was 33.3% -10.0% in AB group (3 cases) and ABC group (6 cases), which was significantly higher than that in CAB group (P <0.01). Conclusions CAB is a desirable rescue procedure for CPCR in patients with cardiac arrest caused by cardiac arrest, but 5 min may be the limit for effective artificial ventilation