目的探讨小儿院前急救及急诊心肺复苏的临床效果。方法回顾性分析274例呼吸骤停(CRA)患儿的临床资料,研究小儿院前急救及急诊心肺复苏的临床效果。结果 274例患儿中有210例发生于家中,32例发生于公共场所,32例发生于医院或救护车上。274例患儿急救时,136例呼吸停止,10例(7.35%)急诊死亡,复苏成功率为92.6%(126/136);心跳停止138例(50.4%),90例(65.2%)急诊死亡,复苏成功率为34.8%(48/138)。结论要提高家属对小儿的监护意识,一旦发现立即给予患儿急救和心肺复苏,争取最佳的急救时间,提高抢救成功率,提升患儿存活率。 Objective To investigate the clinical effect of pediatric prehospital emergency and emergency cardiopulmonary resuscitation. Methods The clinical data of 274 children with respiratory arrest (CRA) were retrospectively analyzed to study the clinical effects of prehospital emergency care and emergency cardiopulmonary resuscitation in children. Results Of 274 children, 210 occurred at home, 32 occurred in public places, and 32 occurred in hospitals or ambulances. In 274 cases of first aid, 136 cases of resuscitation stopped and 10 cases (7.35%) died of emergency, the success rate of resuscitation was 92.6% (126/136); 138 cases (50.4%) had cardiac arrest and 90 cases (65.2%) died of heartbeat , The success rate of recovery was 34.8% (48/138). Conclusion To raise the family awareness of guardianship of children, once found to immediately give children first aid and cardiopulmonary resuscitation, strive for the best first aid time, improve the success rate of rescue and improve the survival rate of children.