单纯胸外心脏按压在院前猝死患者中的作用和意义

    Roles of simple external cardiac massage in the prehospital sudden death patients

    • 摘要: 目的: 探讨单纯胸外心脏按压在院前猝死患者中的作用和意义。方法: 院前心搏骤停310例患者中,接受旁观目击者在救护车到达之前即实施胸外心脏按压87例(按压组),未按压223例(未按压组),同期院内猝死32例(对照组),比较3组复苏效果。结果: 按压组复苏成功率和未按压组相比差异有统计学意义(P<0.05),和对照组差异无统计意义(P>0.05)。结论: 单纯胸外心脏按压对复苏成功率和患者生存率的提高都有重要意义。

       

      Abstract: Objective: To discuss the roles of simple external cardiac massage in the prehospital sudden death patients. Methods: Among three hundred and ten patients with cardiac arrest,eighty seven cases accepted external cardiac massage before the emergency ambulance arrived,while the two hundred and twenty-three cases didn' t. The effects of cardiac resuscitation in above cases were analyzed with thirty two sudden death patients in hospital during the same period. Results: The rates of cardiopulmonary resuscitation had significant difference between the group of which accepted cardiac massage and the group of which didn't accept cardiac massage before the emergency ambulance arrived (P<0.05). The rates of cardiopulmonary resuscitation had no significant difference between above 87 prehospital patients and 32 hospital patients (P>0.05). Conclusions: The simple external cardiac massage has great significance on the recovery rates of cardiopulmonary resuscitation and increasing survival in the prehospital sudden death patients.

       

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