CAJ | 학술논문

目的：分析院外非除颤下死亡患者的发病特点及经现场复苏后的效果。方法选择北京急救中心2009年1月~2011年12月1356例在院外非除颤下死亡的患者，结合2005年心肺复苏指南，并参照2010年心肺复苏指南的要求进行高质量有效的CPR及ACLS复苏后的效果回顾性分析。结果院外非除颤下死亡，高发年龄为60~79岁，男性多于女性。有明确心血管病史占33.92%，脑血管病史占30.23%，肺部疾病占9.96%，肿瘤疾病占16.89%，意外事件占4.5%，其他原因占4.5%。结论经现场急救发现如溺水、气道异物等猝死的患者复苏成功率高，但后期随访出院率低。早期呼叫、早期CPR、更完善的复苏后综合治疗对非除颤下死亡的患者康复更具有意义。
목적：분석원외비제전하사망환자적발병특점급경현장복소후적효과。방법선택북경급구중심2009년1월~2011년12월1356례재원외비제전하사망적환자，결합2005년심폐복소지남，병삼조2010년심폐복소지남적요구진행고질량유효적CPR급ACLS복소후적효과회고성분석。결과원외비제전하사망，고발년령위60~79세，남성다우녀성。유명학심혈관병사점33.92%，뇌혈관병사점30.23%，폐부질병점9.96%，종류질병점16.89%，의외사건점4.5%，기타원인점4.5%。결론경현장급구발현여닉수、기도이물등졸사적환자복소성공솔고，단후기수방출원솔저。조기호규、조기CPR、경완선적복소후종합치료대비제전하사망적환자강복경구유의의。
Objective To analyze the pre-hospital defibrillation following death in patients with non-disease characteristics and the effects upon the scene after resuscitation. Methods The Beijing Emergency Medical Center in January 2009 to December 2011 1356 cases of non-defibrillation in the pre-hospital death in patients under the combination CPR guidelines in 2005, and with reference to the 2010 CPR guidelines for the high-quality and effective CPR and the effect of ACLS recovery retrospectively. Results The pre-hospital defibrillation under non-sudden death, high age of 60~79 years, more men than women;.33.92% had a clear history of cardiovascular disease, history of 30.23%cerebrovascular disease, 9.96% of lung disease, 16.89% of tumor diseases, accidents 4.5% , 4.5% for other reasons. Conclusion The field first aid discovery, such as drowning, airway foreign bodies such as the recovery success rate in patients with sudden death, but the low rate of post-discharge follow-up. The early call, early CPR, and better recovery of non-defibrillation under the comprehensive treatment of rehabilitation of patients with death more meaningful.