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目的探讨老年人心肺复苏的临床特点及影响因素。方法对38例老年人心肺复苏的临床资料进行分析,并与40例非老年人对比。结果老年组心脏骤停的主要病因为心、脑血管疾病,非老年组以意外伤害及中毒多见;老年组复苏前室颤发生率、肾上腺素使用剂量大于非老年组(P<0.05);自主循环恢复率低于非老年组(P<0.05);而MODS发生率及病死率明显高于非老年组(P<0.05)。结论老年患者心肺复苏成功率低,早期气管插管、及时电除颤对抢救至关重要。
Objective To investigate the clinical characteristics and influential factors of cardiopulmonary resuscitation in the elderly. Methods The clinical data of 38 elderly patients with cardiopulmonary resuscitation were analyzed and compared with 40 non-elderly controls. Results The main causes of cardiac arrest in the elderly group were heart and cerebrovascular diseases. Accidental injuries and poisoning were more common in non - elderly patients. The incidence of premature ventricular fibrillation and the dose of epinephrine in elderly patients were higher than those in non - elderly patients (P <0.05). The recovery rate of spontaneous circulation was lower than that of non-elderly group (P <0.05), while the incidence of MODS and mortality was significantly higher than that of non-elderly group (P <0.05). Conclusion The success rate of cardiopulmonary resuscitation in elderly patients is low. Early tracheal intubation and timely defibrillation are crucial for rescue.