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目的:了解东莞南部地区三个镇区心跳骤停患者的发病特点及救治情况,以期提高心肺复苏成功率。方法:回顾性分析2014年1月至2015年9月院外120出诊或急诊室就诊305例病例,通过Utstein模式登记资料,分析病例特点及救治情况。结果:305例患者,初始自主循环恢复26例(8.52%),存活出院6例(1.96%)。39%病例考虑为心源性导致,且90%的病例发生在公共场所和家中。未复苏病例的急救反应时间较复苏病例明显延长。结论:东莞南部地区心肺复苏成功率低,提高120调度员指导旁观者实施现场复苏比例,缩短急救反应时间是心肺复苏成功关键。
Objective: To understand the onset and treatment of sudden cardiac arrest in three townships in southern Dongguan in order to improve the success rate of cardiopulmonary resuscitation. Methods: A retrospective analysis of 305 outpatient or emergency room visits from January 2014 to September 2015 in 305 outpatients was conducted. Utstein model registration data were used to analyze the characteristics and treatment of the cases. Results: Among the 305 patients, 26 cases (8.52%) recovered initially and 6 cases (1.96%) survived and discharged. 39% of cases are considered cardiogenic and 90% of cases occur in public places and at home. The emergency response time of non-recovery cases was significantly longer than that of recovery cases. Conclusion: The success rate of cardiopulmonary resuscitation in the southern area of Dongguan is low. It is the key to success of cardiopulmonary resuscitation to improve the proportion of on-site resuscitation directed by 120 dispatchers and shorten the time of first aid response.