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目的回顾性分析102例院前猝死事件发生的特点及有效防治措施。方法回顾性分析乌鲁木齐市第一人民医院2004~2006年ICU进行院前急诊救治的102例患者的猝死原因及防治措施。结果院前猝死病例102例,约59%有明确的心血管病史,高发年龄为60岁以上(61.76%),男性多于女性,冬季明显高于其他季节。引起猝死的直接原因:室颤,室速。在≤6 min内进行现场施救的复苏有效为42例,6~8 min内进行现场施救的复苏有效为10例,8 min以上进行复苏的均无效。结论对于已有心血管基础的患者应注意其发生猝死的高度危险性,加快普及现场第一目击的心肺复苏术(CPR)技能、意识及公共场合普及自动除颤仪(AED)是刻不容缓的,为进一步提高院前猝死急救复苏水平提供依据。
Objective To retrospectively analyze the characteristics of 102 cases of pre-hospital sudden death and the effective prevention and treatment measures. Methods A retrospective analysis of Urumqi First People’s Hospital 2004-2006 ICU for emergency treatment of pre-hospital emergency treatment of 102 patients and prevention and treatment measures. Results 102 cases of pre-hospital sudden death, about 59% had a clear history of cardiovascular disease, high incidence of 60 years of age (61.76%), more men than women, winter was significantly higher than the other seasons. The direct cause of sudden death: ventricular fibrillation, ventricular tachycardia. The effective resuscitation on-site rescue within 6 min was effective in 42 patients. The resuscitation on-site rescue within 6-8 min was effective in 10 patients and the resuscitation was ineffective in more than 8 min. CONCLUSIONS: Patients with established cardiovascular disease should pay attention to the high risk of sudden death. To speed up the popularity of CPR skills, awareness and popularization of automatic defibrillators (AEDs) in public is urgent To further improve the pre-hospital emergency rescue level to provide the basis for sudden death.