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目的探讨心肺复苏和创伤急救中氧利用率的监测及预后。方法 2010年10月至2011年10月期间,我院诊治的40例患者(25例心肺复苏患者和15例创伤急救患者),给予氧利用率的监测,对其病例进行回顾性分析。结果与心肺复苏患者相比,创伤急救患者的血气指标得到明显改善,P<0.05,差异具有统计学意义。创伤急救患者的氧利用率为(0.30±0.06),而心肺复苏患者的氧利用率为(0.68±0.15)。15例创伤急救患者中,成功救治15例;25例心肺复苏患者中,成功救治5例,死亡20例。与心肺复苏患者相比(20.0%),创伤急救患者的成功救治率明显升高(100.0%),P<0.05,差异具有统计学意义。结论氧利用率≥0.40,认为是危重界限值。氧利用率的监测,可以准确地反应组织氧代谢,指导临床治疗和用药。
Objective To investigate the monitoring and prognosis of cardiopulmonary resuscitation and trauma emergency use of oxygen utilization rate. Methods From October 2010 to October 2011, 40 patients (25 patients with cardiopulmonary resuscitation and 15 patients with emergency trauma) who were diagnosed and treated in our hospital were monitored for oxygen utilization rate and their cases were retrospectively analyzed. Results Compared with patients with cardiopulmonary resuscitation, the blood gas index of emergency trauma patients was significantly improved, P <0.05, the difference was statistically significant. The oxygen utilization rate was (0.30 ± 0.06) in emergency trauma patients and (0.68 ± 0.15) patients in cardiopulmonary resuscitation patients. Among the 15 traumatic emergency patients, 15 cases were successfully treated, and in 25 cases of cardiopulmonary resuscitation, 5 cases were successfully treated and 20 died. Compared with patients with cardiopulmonary resuscitation (20.0%), the successful treatment rate of emergency trauma patients was significantly increased (100.0%), P <0.05, the difference was statistically significant. Conclusion Oxygen utilization rate ≥ 0.40, considered to be critical limits. Oxygen utilization monitoring, can accurately reflect tissue oxygen metabolism, and guide clinical treatment and medication.