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目的明确心脏骤停监护心电图表现方式(室颤和心室停搏)与临床因素的关系。方法回顾我院ICU2008年9月至2010年2月间发生心脏骤停患者54例,分为室颤组(24例)和心室停搏组(30例),调查患有冠心病比率和电解质紊乱、缺氧和高乳酸血症比率并检测血糖,用SPSS13.0统计软件进行统计学分析。结果两组患者在患有冠心病、电解质紊乱、缺氧和高乳酸血症的比率和血糖值存在明显差异(P<0.05)。结论室颤组多患有冠心病而内环境紊乱较轻;心室停搏组较少患有冠心病而内环境紊乱较重。
Objective To determine the relationship between clinical manifestations and cardiogram (VF and ventricular arrest) in cardioversion. Methods 54 cases of cardiac arrest in ICU of our hospital from September 2008 to February 2010 were divided into two groups: the ventricular fibrillation group (24 cases) and the ventricular cardioplegia group (30 cases), the patients with coronary heart disease and electrolyte imbalance , The ratio of hypoxia and hyperlactic acidosis and blood glucose, statistical analysis using SPSS13.0 statistical software. Results There was a significant difference (P <0.05) between the two groups in the rate of coronary heart disease, electrolyte imbalance, hypoxia and hyperlipidemia and blood glucose levels. Conclusion Most of patients with VF have coronary heart disease and mild disturbance of internal environment. Patients with ventricular arrest group have less coronary heart disease and severe disturbance of internal environment.