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目的:探讨紧急深静脉穿刺置管术在心肺复苏(cardiopulmonary resuscitation,CPR)中的临床应用价值。方法:随机将58例心脏骤停患者分为深静脉穿刺置管给药组(深静脉组)30例和常规外周静脉给药组(外周静脉组)28例,比较分析两组复苏效果。结果:两组在穿刺置管时间上差异无统计学意义(P>0.05),但深静脉组自主循环恢复(Return of spontaneous circulation,RSC)时间明显短于外周静脉组(P<0.05),初期复苏成功率和短期存活率也显著高于外周静脉组(P<0.05),深静脉组的肾上腺素用量明显少于外周静脉组(P<0.05)。结论:与常规外周静脉给复苏药比较,CPR时紧急深静脉穿刺置管给药提高了初期复苏成功率。
Objective: To investigate the clinical value of emergency deep venous catheterization in cardiopulmonary resuscitation (CPR). Methods: Fifty-eight patients with cardiac arrest were randomly divided into deep venous catheterization group (30 cases) and conventional peripheral venous group (28 cases). The effects of resuscitation were compared between the two groups. Results: There was no significant difference in the time of puncture and catheterization between the two groups (P> 0.05), but the time of return of spontaneous circulation (RSC) in the deep venous group was significantly shorter than that in the peripheral venous group (P <0.05) The success rate of recovery and short-term survival rate were also significantly higher than those of peripheral vein group (P <0.05). The dosage of epinephrine in deep vein group was significantly less than that of peripheral vein group (P <0.05). Conclusion: Compared with routine peripheral venous resuscitation drugs, the catheterization of emergency deep venous catheter during CPR improves the success rate of initial resuscitation.