[1]乔秋萍,邵 芳,戴付敏.尽早电除颤对院内心搏骤停患者抢救成功率的影响[J].新乡医学院学报,2019,36(7):687-689.[doi:10.7683/xxyxyxb.2019.07.022]
 QIAO Qiu-ping,SHAO Fang,DAI Fu-min.Effect of early electric defibrillation on the rescue success rate of patients with cardiac arrest in hospital[J].Journal of Xinxiang Medical University,2019,36(7):687-689.[doi:10.7683/xxyxyxb.2019.07.022]
点击复制

尽早电除颤对院内心搏骤停患者抢救成功率的影响
分享到:

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年7
页码:
687-689
栏目:
临床研究
出版日期:
2019-07-05

文章信息/Info

Title:
Effect of early electric defibrillation on the rescue success rate of patients with cardiac arrest in hospital
作者:
乔秋萍邵 芳戴付敏
(阜外华中心血管病医院冠心病五病区,河南 郑州 451464)
Author(s):
QIAO Qiu-pingSHAO FangDAI Fu-min
(Department of Cardiology,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451464,Henan Province,China)
关键词:
电除颤心搏骤停心肺复苏
Keywords:
electric defibrillationcardiac arrestcardiopulmonary resuscitation
分类号:
R541.7+8
DOI:
10.7683/xxyxyxb.2019.07.022
文献标志码:
A
摘要:
目的 探讨尽早电除颤对院内心搏骤停患者抢救成功率的影响。方法 回顾性分析2013年1月至2018年10月阜外华中心血管病医院心内科收治的13例院内心博骤停后及时给予电除颤患者的临床资料。结果 心搏骤停发作时发生心室颤动7例,心脏停搏2例,4例未佩戴心电监护仪;12例患者心搏骤停后2 min内实施电除颤,1例心搏骤停后6 min实施电除颤。12例患者给予1~3次电除颤,1例患者给予5次电除颤。复苏成功11例,死亡2例,复苏成功率为84.6%(11/13)。结论 心搏骤停后尽早电除颤能够有效提升抢救成功率。
Abstract:
Objective To investigate the effect of early electric defibrillation on the rescue success rate of patients with cardiac arrest in hospital.Methods A retrospective analysis was made of The clinical data of 13 patients admitted to the Department of Cardiology of Fuwai Central China Cardiovascular Hospital from January 2013 to October 2018 who were given electroconvulsive defibrillation after cardiac arrest.Results There were seven cases of ventricular fibrillation,two cases of cardiac arrest and four cases without electrocardiogram monitor.Electrical defibrillation was performed within 2 min after cardiac arrest in twelve patients and 6 min after cardiac arrest in one patient.Twelve patients received 1-3 electric defibrillation,and one patient received 5 electric defibrillation.Eleven cases were successfully resuscitated and two cases died,the success rate was 84.6%(11/13).Conclusion Early electric defibrillation after cardiac arrest can effectively improve the success rate of rescue.

参考文献/References:

[1] 马茜,孙洁芳,周玉杰.纳米技术为冠心病高危患者早期预警及治疗带来希望[J].中华心血管病杂志,2018,46(5):400-402.
[2] 周文,罗群.从2010美国心肺复苏指南若干更新看胸外按压的重要性[J].中国全科医学,2011,14(8):819-820.
[3] 陈亮,余震,梅爱红,等.经心肺复苏后自主循环恢复的心搏骤停患者预后危险因素及对策[J].中华全科医学,2017,15(7):1268-1270.
[4] RAKIC' D,RUMBOLDT Z,CAREVIC' V,et al.In-hospital cardiac arrest and resuscitation outcomes:rationale for sudden cardiac death approach[J].Croat Med J,2005,46(6):907-912.
[5] EHLENBACH W J,BARNATO A E,CURTIS J R,et al.Epide-miologic study of in-hospital cardiopulmonary resuscitation in the elderly[J].N Engl J Med,2009,361(1):22-31.
[6] BERDOWSKI J,BERG R A,TIJSSEN J G,et al.Global incidences of out-of-hospital cardiac arrest and survival rates:systematic review of 67 prospective studies[J].Resuscitation,2010,81 (11):1479- 1487.
[7] 陈美英,许汉进.心搏骤停病人抢救效果的影响因素分析[J].中西医结合心脑血管病杂志,2018,16(11):1578-1581.
[8] SHAO F,LI C S,LIANG L R,et al.Outcome of out-of-hospital cardiac arrests in Beijing,China[J].Resuscitation,2014,85(11):1411- 1417.
[9] SHAO F,LI C S,LIANG L R,et al.Incidence and outcome of adult in-hospital cardiac arrest in Beijing,China[J].Resuscitation,2016,102:51-56.
[10] 徐胜勇,于学忠.心肺复苏的研究热点和进展[J].中国中西医结合急救杂志,2015,22(3):330-333.
[11] 沈洪,何忠杰.心搏骤停的最有效治疗-早期电除颤[J].中华急诊医学杂志,2003,12(7):501-502
[12] 李久胜.体外自动除颤仪在心搏骤停患者抢救中的应用效果[J].医疗装备,2018,31(12):28-29.
[13] 陈永强.《2010年国际心肺复苏和心血管急救指南及治疗建议》解析[J].中华护理杂志,2011,46(3):317-320.
[14] 魏捷,胡念丹.《2015年美国心脏协会心肺复苏及心血管急救指南更新》解读之急救系统和持续质量改进[J].临床急诊杂志,2016,17(1):1-3.
[15] 黄子通.提高我国心肺脑复苏水平的措施与对策[J].中华急诊医学杂志,2004,13(3):153-154
[16] 唐宇.心血管急救生存链抢救心搏骤停患者预后相关因素研究[J].实用心脑肺血管病杂志,2017,25(9):74-77.

更新日期/Last Update: 2019-07-05