摘要
目的研究在急性肺栓塞心肺复苏中进行溶栓治疗的可行性。方法回顾分析2005年9月至2010年9月因心脏骤停行心肺复苏治疗的23例急性肺栓塞患者,其中12例给予了溶栓治疗,11例未溶栓。比较两组患者在心肺复苏后自主循环恢复及存活情况。结果溶栓治疗组自主循环恢复8例,存活5例,最终死亡7例;非溶栓治疗组自主循环恢复2例,存活1例,最终死亡10例。溶栓治疗组自主循环恢复及存活率均高于未溶栓组(P<0.05)。结论对发生心脏骤停的急性肺栓塞患者心肺复苏同时行溶栓治疗可明显提高此类患者自主循环恢复及存活率,具有较好的疗效。
Objective To study the feasibility of the thrombolysis therapy in CPR of the acute pulmonary embolism.Methods analyzing the 23 cases with sudden death caused by acute pulmonary embolism from 2005.5 to 2010.9 retrospectively,of which,12 cases were treated with thrombolysis,11 cases were not treated with thrombolysis during CPR.Compared the return of spontaneous circulation and the survivorship between the two groups.Results There were 8 cases with the return of spontaneous circulation and 5 case with survivorship,7 cases with death in the group with thrombolysis.2 cases with the return of spontaneous circulation and 1 case with survivorship,10 cases with death in the group without thrombolysis.There were significant difference between two groups（P0.05）.Conclusions The thrombolysis therapy during the CPR of acute pulmonary embolism could raise the return of spontaneous circulation and the survivorship.
出处
《社区医学杂志》
2011年第4期1-3,共3页
Journal Of Community Medicine
基金
山东省科技攻关项目:2008GG300002061
关键词
肺栓塞
心肺复苏
溶栓
自主循环
存活率
可行性
pulmonary embolism
CPR
thrombolysis
automatic circulation
survivorship
feasibility
