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16例心脏骤停原因及心肺复苏结果分析

Analysis on causes of cardiac arrest and results of cardiopulmonary resuscitation in 16 cases
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摘要 目的分析引起心脏骤停(CA)的原因和进行心肺复苏(CPR)结果。方法总结我院近2年抢救的16例CA临床资料,对所致CA原因及进行CPR主要抢救措施和结果进行回顾性分析。结果复苏成功7例(43.75%),失败9例(56.25%),低血钾、部分医疗操作可诱发CA,室颤、窦性停搏、迷走神经张力增高等是CA的直接原因,及时并积极有效地进行心肺复苏是抢救成功的关键。结论及时发现和处理引起CA的诱因是避免CA发生的关键因素,机械通气、脑保护,对提高CPR成功至关重要。 Objective To analyze the causes of cardiac arrest (CA) and the results of cardiopulmonary resuscitation (CPR). Methods The clinical data of 16 cases of CA in our hospital in recent two years were summarized. The cause of CA, main rescue measures and results were retrospectively analyzed. Results According to the results of CPR,7 cases (43.75%) were successful and 9 cases (56.25%) failed. Hypokalemia and medical malpractice were the inducing factors of CA while ventricular fibrillation, sinus arrest and increase of vagal tone were the direct causes of CA. Timely and active implementation of CPR was the key to the successful rescue. Conclusion Timely discovery and treatment of the inducing factors is the key to prevent CA. Medical ventilation and cerebral protection are of great importance in CPR.
作者 申永 向怒涛
出处 《局解手术学杂志》 2010年第6期491-492,共2页 Journal of Regional Anatomy and Operative Surgery
关键词 心脏骤停 心肺复苏 病因 治疗 cardiac arrest cardiopulmonary resuscitation causes results
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