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目的探讨影响心肺复苏成功的因素,总结经验,提高心肺复苏质量。方法回顾分析急诊心肺复苏病例49例,分析心脏骤停的病因、复苏时间、复苏程序、复苏药物等因素对复苏成功率的影响。结果院前心脏骤停17例,1例存活,2例恢复自主循环。院内心脏骤停32例,复苏成功8例,7例存活出院,1例持续昏迷2天后自动出院。结论缺少现场急救,复苏开始时间滞后是导致院前心脏骤停复苏成功率低的主要原因。提高心肺复苏效率是复苏成功的关键。院内心脏骤停复苏程序以CABD、CDAB为宜。
Objective To explore the factors influencing the success of cardiopulmonary resuscitation, summarize the experience and improve the quality of cardiopulmonary resuscitation. Methods A retrospective analysis of 49 cases of emergency CPR cases, analysis of the causes of cardiac arrest, recovery time, recovery procedures, recovery of drugs and other factors on the success rate of recovery. Results 17 cases of cardiac arrest before hospital, 1 case survived, 2 cases of recovery of spontaneous circulation. The hospital cardiac arrest in 32 cases, 8 cases of successful resuscitation, 7 patients were discharged alive, 1 patient was discharged automatically after 2 days of coma. Conclusion The lack of on-site first aid and the lag time of resuscitation are the main reasons for the low success rate of pre-hospital cardiac arrest. Improving cardiopulmonary resuscitation efficiency is the key to successful recovery. Hospital cardiac arrest recovery program to CABD, CDAB appropriate.