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报道儿科急诊室243例心肺复苏(CPR)结果112例(46%)心跳恢复并送入住院。门诊心跳停止组CPR成功率高于院前停跳组(DOA);新生儿组和1~5mo婴儿组复苏成功率高于>5mo小儿组;气管内插管组高于未插管组。入院病儿最终治愈好转出院14例。结果表明:复苏时气管插管和正确使用肾上腺素是提高CPR成功率的有效措施。加强对新生儿和婴幼儿的抢救有重要意义,提出了DOA病儿的抢救指征。
Report of 243 cases of pediatric emergency room cardiopulmonary resuscitation (CPR) Results 112 cases (46%) recovered heart rate and hospitalized. The success rate of CPR in outpatient cardiac arrest group was higher than that in prehospital park group (DOA). The successful rate of resuscitation in neonates and 1 ~ 5 months infants was higher than that of> 5 months pediatric group. The endotracheal intubation group was higher than that of non-intubated group. Infected children eventually cured improved discharge 14 cases. The results show that: tracheal intubation and proper use of epinephrine during resuscitation is an effective measure to improve the success rate of CPR. Strengthening the rescue of newborns and infants and young children is of great significance, put forward the indications for the treatment of DOA sick children.