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目的 对国外推荐的院内Utstein模式的适用性及影响复苏预后有关因素等进行初步的探讨。方法 前瞻性研究本部门一年内心肺复苏抢救的情况。结果 ① 2 0 0 0年中山医科大学附一院急诊科内执行心肺复苏抢救 2 2 8例 ;属于心源性起病者 6 4例 ,6例 (9 4% )存活出院 ;心源性患者中以室颤为初始心电图者 2 1例 ,4例 (19 0 % )存活出院。②心源性发病、以室颤为初始心电图、气管插管是影响预后的有利因素 ,开始复苏间期、开始使用肾上腺素间期、开始除颤间期越短 ,预后越好。结论 ①此模式在应用于本部门的心肺复苏研究过程中体现出较好的可行性。②为了提高心肺复苏的成功率 ,对确诊为心搏骤停的患者应尽早开始复苏、尽早使用肾上腺素、室颤患者应尽早行电击除颤、经基本生命支持尚未实现自主呼吸者宜行气管插管
OBJECTIVE: To investigate the applicability of the proposed Utstein model abroad and the factors influencing the prognosis of recovery. Methods Prospective study of the department within a year of resuscitation and cardiopulmonary resuscitation. Results ① During the emergency department of Zhongshan Hospital Affiliated Hospital of Zhongshan University, 228 cases were rescued by cardiopulmonary resuscitation in 2004. Sixty-four (64%) patients were cardio-originated and survived after discharge. Cardiac patients Among them, 21 cases had ventricular fibrillation as the initial electrocardiogram, and 4 patients (19 0%) survived and were discharged. Cardiac origin, with initial ventricular fibrillation as electrocardiogram, endotracheal intubation is a favorable prognostic factor, the beginning of resuscitation interval, began to use adrenaline interval, the shorter the defibrillation interval, the better the prognosis. Conclusion ① This model shows good feasibility in the research of cardiopulmonary resuscitation used in this department. ② in order to improve the success rate of cardiopulmonary resuscitation, patients diagnosed as cardiac arrest should start recovery as soon as possible, the early use of epinephrine, ventricular fibrillation patients should defibrillation as soon as possible, the basic life support has not yet achieved spontaneous breathing trachea Intubation