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目的探讨猝死后行心肺复苏的同时经静脉溶栓治疗的观察和护理措施。方法分析2005年7月至2008年12月运送至本院急诊或病房的72例猝死患者,总结静脉溶栓治疗对猝死后心肺复苏的影响和护理经验。结果治疗组自主循环恢复率、24h存活率、存活出院率明显高于对照组。而严重出血发生率两组比较P>0.05,统计学上无显著差异。治疗组患者自主循环、自主呼吸恢复时间明显早于对照组。结论心肺复苏的同时经静脉溶栓治疗能有效地降低猝死患者的死亡率,提高CPR的抢救成功率。
Objective To investigate the observation and nursing measures of intravenous thrombolysis combined with cardiopulmonary resuscitation after sudden death. Methods From July 2005 to December 2008, 72 sudden death patients were delivered to our emergency room or hospital ward to summarize the effect of intravenous thrombolytic therapy on cardiopulmonary resuscitation after sudden death and nursing experience. Results The recovery rate of spontaneous circulation, the survival rate of 24h and the survival rate of survival in treatment group were significantly higher than those in control group. The incidence of severe bleeding in the two groups compared P> 0.05, no statistically significant difference. Patients in treatment group had spontaneous circulation and recovery time of spontaneous breathing obviously earlier than control group. Conclusions Cardiopulmonary resuscitation with intravenous thrombolysis can effectively reduce the mortality of patients with sudden death and improve the success rate of CPR rescue.