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目的:分析江苏镇江地区院外心脏骤停患者特点。方法:采用回顾性分析方法,对江苏镇江市急救中心2013年1月1日～12月31日院前救治心脏骤停患者的资料进行统计与分析。结果结果:247例心脏骤停患者,男性174例,女性73例(男:女=2.38:1)。年龄1～106岁,中位数(四分位间距)年龄[M(Qr)]=69(53,80)岁。男性年龄(63.14±20.02)岁,女性年龄(69.82±17.63)岁(P<0.05)。发生在家中175例,其他场所72例。现场救治后转送至医院的180例,未转送的67例。应急反应时间最短1 min,最长36 min,中位数(四分位间距)时间[M(Qr)]=9(6,12)min。超过12 min的为60例(24.29%)。共有16例(6.48%)患者获得现场心肺复苏术(CPR),(其中家人6例、旁观者4例、医务人员实施6例)。其中有3例(1.21%)院前实现心肺骤停多发(ROSC)。12月份发生心脏骤停患者最多,共36例(14.57%),另2月、3月、11月患者的人数均超过了10%。年龄≥21岁患者,在8:00～16:00发生率最高。31例无明确病史,50例病史不详,166例(67.21%)有明确的原发病史,其中113例(45.75%)患有一种原发疾病,53例(21.46%)患有两种或两种以上原发疾病。结论结论:江苏镇江地区院外心脏骤停冬季好发,心脑血管基础性疾病以老年患者为主,在做好相关预防工作的同时,应加强社区急救和院前急救双网络的建设,适当延长心肺复苏时间。
Objective: To analyze the characteristics of outpatients with cardiac arrest in Zhenjiang area of Jiangsu province. Methods: The retrospective analysis was used to analyze and analyze the data of patients hospitalized for cardiac arrest from Jan. 1 to Dec. 31, 2013 in Zhenjiang Emergency Center of Jiangsu Province. Results Results: Of the 247 patients with cardiac arrest, 174 were male and 73 were female (male: female = 2.38: 1). Aged 1 to 106 years old, median (quartile) age [M (Qr)] = 69 (53,80) years of age. Male (63.14 ± 20.02) years old, female (69.82 ± 17.63) years old (P <0.05). 175 cases occurred in the home, 72 cases in other places. 180 cases were transferred to the hospital after treatment on site and 67 cases were not transferred. The shortest emergency response time was 1 min and the maximum was 36 min. The median (interquartile range) time [M (Qr)] = 9 (6,12) min. 60 cases (24.29%) over 12 min. A total of 16 patients (6.48%) had CPR (6 in the family, 4 in the bystander and 6 in the medical staff). Three of them (1.21%) were hospitalized for cardiorespiratory arrest (ROSC). There were 36 patients (14.57%) with cardiac arrest in December and more than 10% patients in February, March and November. Patients aged ≥ 21 years old, the highest incidence of 8: 00 ~ 16: 00. There were no definite medical history in 31 cases, unknown history in 50 cases, clear primary history in 166 cases (67.21%), of which 113 cases (45.75%) had one primary disease and 53 cases (21.46%) had two or two Above the primary disease. CONCLUSIONS: The out-of-hospital cardiac arrest in Zhenjiang, Jiangsu Province, occurred in winter and the cardio-cerebrovascular basic diseases are mainly elderly patients. In addition to the related prevention work, the construction of community emergency and pre-hospital emergency dual networks should be strengthened and extended appropriately Cardiopulmonary resuscitation time.