中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
21期
17-17,19
,共2页
呼吸心跳停止%心肺复苏%电除颤%死亡原因
呼吸心跳停止%心肺複囌%電除顫%死亡原因
호흡심도정지%심폐복소%전제전%사망원인
Respiratory and cardiac arrest%Cardiopulmonary resuscitation%Electric defibrillation%The cause of death
目的：总结呼吸心跳停止患者死亡原因及抢救经验。方法：2013年4月-2014年4月收治呼吸心跳停止患者26例，医生和护士及时进行心肺复苏、药物治疗和对症治疗等，分析抢救过程及死亡原因等。结果：本组26例呼吸心跳停止患者经过积极救治，存活6例，出院后能生活自理3例，出现肢体功能障碍2例，出现智力障碍1例，存活率23%。死亡21例，死亡率77%。本组患者心肺复苏时间5～120分钟，平均30.3分钟，患者住院时间1～40天，平均11.3天。分析死亡原因：①救治不及时，有的患者呼吸心跳停止时间过长，已超过10分钟才来院进行治疗。②心肺复苏程序欠准确。③没能及时进行有效电除颤。④患者的体温过高，导致能量消耗过大，加快了死亡速度。结论：救治不及时，心肺复苏程序欠准确，没能及时进行有效电除颤，以及患者的体温过高，导致能量消耗过大，是导致死亡的主要原因。及时救治和有效的进行心肺复苏和电除颤是救治呼吸心跳停止的主要措施。
目的：總結呼吸心跳停止患者死亡原因及搶救經驗。方法：2013年4月-2014年4月收治呼吸心跳停止患者26例，醫生和護士及時進行心肺複囌、藥物治療和對癥治療等，分析搶救過程及死亡原因等。結果：本組26例呼吸心跳停止患者經過積極救治，存活6例，齣院後能生活自理3例，齣現肢體功能障礙2例，齣現智力障礙1例，存活率23%。死亡21例，死亡率77%。本組患者心肺複囌時間5～120分鐘，平均30.3分鐘，患者住院時間1～40天，平均11.3天。分析死亡原因：①救治不及時，有的患者呼吸心跳停止時間過長，已超過10分鐘纔來院進行治療。②心肺複囌程序欠準確。③沒能及時進行有效電除顫。④患者的體溫過高，導緻能量消耗過大，加快瞭死亡速度。結論：救治不及時，心肺複囌程序欠準確，沒能及時進行有效電除顫，以及患者的體溫過高，導緻能量消耗過大，是導緻死亡的主要原因。及時救治和有效的進行心肺複囌和電除顫是救治呼吸心跳停止的主要措施。
목적：총결호흡심도정지환자사망원인급창구경험。방법：2013년4월-2014년4월수치호흡심도정지환자26례，의생화호사급시진행심폐복소、약물치료화대증치료등，분석창구과정급사망원인등。결과：본조26례호흡심도정지환자경과적겁구치，존활6례，출원후능생활자리3례，출현지체공능장애2례，출현지력장애1례，존활솔23%。사망21례，사망솔77%。본조환자심폐복소시간5～120분종，평균30.3분종，환자주원시간1～40천，평균11.3천。분석사망원인：①구치불급시，유적환자호흡심도정지시간과장，이초과10분종재래원진행치료。②심폐복소정서흠준학。③몰능급시진행유효전제전。④환자적체온과고，도치능량소모과대，가쾌료사망속도。결론：구치불급시，심폐복소정서흠준학，몰능급시진행유효전제전，이급환자적체온과고，도치능량소모과대，시도치사망적주요원인。급시구치화유효적진행심폐복소화전제전시구치호흡심도정지적주요조시。
Objective:To summarize the causes of death and rescue experience of respiratory and cardiac arrest patients.Methods:26 cases with respiratory and cardiac arrest were selected from April 2013 to April 2014.Doctors and nurses gave them cardiopulmonary resuscitation,medical treatment and symptomatic treatment and other treatment timely.Analyze the causes of death and rescue experience.Results:In 26 cases with respiratory and cardiac arrest,after active treatment,6 cases were survived,3 cases of life with independent after discharged from hospital,2 cases with limb dysfunction,1 case with mental retardation,and the survival rate was 23%.21 cases died,and the mortality was 77%.The cardiopulmonary resuscitation time was 5 to 120 minutes,and the average was 30.3 minutes.The hospitalization time was 1 to 40 days,and the average was 11.3 days.The main causes of death were as follows:①The treatment was not timely.The time of some patients with respiratory and cardiac arrest was too long.It had more than 10 minutes to come to hospital for treatment.②Cardiopulmonary resuscitation procedures were less accurate.③It was failed to timely defibrillation. ④ The patient's temperature was too high,which resulted in excessive energy consumption,and accelerated the death rate.Conclusion:Intimely treatment, inaccurate ardiopulmonary resuscitation procedures,intimely defibrillation,and high temperature are the leading causes of death.Timely treatment and effective CPR and defibrillation are the main measures to treat respiratory and cardiac arrest.
