摘要
目的分析在儿童重症监护病房(PICU)心肺复苏(CPR)的有效性及影响CPR存活率的因素。方法回顾性分析PICU发生呼吸心跳骤停而行CPR的临床情况,评价其与CPR存活率的关系。不包括仅用辅助正压通气或复苏药物而未施行胸外按压的病例。结果1998年4月至2004年8月间北京儿童医院PICU共258例患儿施行CPR,131例(50.8%)初步复苏成功,36例(14.0%)治愈出院。性别和年龄对存活率的影响差异无显著性。原发病及其合并症对存活率有显著影响。入PICU24h内及24h后行CPR其存活率分别为23.1%和17.4%;CPR时间≤5min,5～15min及≥5min的存活率分别为53.7%,23.5%和2.1%,差异均有显著性。CPR次数增多存活率下降。结论PICU行CPR后患儿的存活率较低。原发病及其合并症、复苏时间、复苏次数及入住ICU至心肺复苏时间是影响存活率的重要因素。
Objective To determine the effect of cardiopulmonary resuscitation(CPR),and to evaluate factors associated with survival rate from cardiopulmonary arrest in pediatric intensive care unit(PICU).Methods PICU patients were retrospectively reviewed on cardiorespiratory arrest. Prearrest variables, setting of arrest, and outcome of resuscitative efforts were evaluated.Patient who only received positive pressure ventilation or resuscitation drugs were not included.Results Two hundred and fifty-eight patients in PICU of Beijing children hospital received CPR.131 (50.8%) patients were initially successful.36(14%) patients survived to hospital discharge. Neither sex nor age distribution affected survival. The primary diseases and complications were associated with survival. For duration from admission to resuscition of ≤24 hours and>24 hours, the survival rate were 23.1% and 17.4%,respectively.For CPR duration of ≤5 minutes, 5 to 15 minutes, and>15 minutes,the survival rate were 53.7%, 23.5%, and 2.1%,respectively.PICU survival decreased as the number of CPR increased.Conclusion Survival after was poor after CPR in PICU. Factors associated with a poor prognosis includ primary disease,complications, duration of resuscitation, number of CPR, and duration from admission to resuscitation.
出处
《中华急诊医学杂志》
CAS
CSCD
2005年第6期488-490,共3页
Chinese Journal of Emergency Medicine
