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现将我院12年来心脏骤停患者及复苏的临床分析如下: 资料及方法本文收集了1975年10月至1987年12月间,我院急诊及住院心脏骤停患者762例。男645例,女117例;男女之比5.5:1.年龄14~82岁,平均51±23岁.缺氧时间(心脏骤停到开始心肺复苏的时间)在30分钟以内均经过标准心肺复苏术(CPR)者394例;其中循环重建者(指心跳恢复并维持2小时以上)98例,占24.87%;长期存活不留任何后遗症者32例,占8.12%.缺氧时间大于30分钟,且均未进行CPR者368例,占48.29%,除长期存活的32例外,余均符合猝死标准.本文气管内给药均采用气管插管后,在KR-Z型喷射呼吸机控制下,将每次药量稀释1~2倍快速气管内滴入.
The clinical analysis of patients with cardiac arrest and resuscitation in our hospital for 12 years is as follows: Materials and Methods This article collected 762 cases of emergency and inpatient cardiac arrest in our hospital from October 1975 to December 1987. There were 645 males and 117 females.The ratio of males to females was 5.5: 1. The ages ranged from 14 to 82 years, with an average of 51 ± 23 years.An hypoxic time (cardiac arrest until the time of cardiopulmonary resuscitation) passed standard CPR within 30 minutes (CPR) were 394. Among them, 98 cases (24.87%) had cyclic remodeling (mean heart rate recovery more than 2 hours), 32 cases (8.12%) had long-term survival without any sequelae, and hypoxia time was more than 30 minutes 368 cases without CPR, accounting for 48.29%, except for the long-term survival of 32 cases, all still meet the standard of sudden death.In this study, intratracheal intubation after tracheal intubation, under the control of KR-Z jet ventilator, Each dose diluted 1 to 2 times rapid tracheal instillation.