中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
24期
111-112,113
,共3页
心脏性猝死%危险因素%心肺复苏
心髒性猝死%危險因素%心肺複囌
심장성졸사%위험인소%심폐복소
Sudden cardiac death%Risk factors%Cardiopulmonary resuscitation
目的：分析心脏性猝死(SCD)的临床特点、危险因素和心肺复苏治疗情况。方法：54例住院SCD患者，分析其常见病因、诱因、心电图表现和心肺复苏成功率。结果：54例SCD患者，最常见的病因为冠心病41例(75.9%)，即时心电图示室颤为主，经心肺复苏、电除颤、急诊冠脉支架等处理，54例SCD中16例恢复自主循环，6例存活出院，存活率为11.1%。结论：老年、急性冠脉综合征、电解质紊乱合并多种疾病是导致SCD的重要诱发因素。心电图显示复杂性室性心律失常、室内多束支阻滞等应注意SCD，尽早除颤是提高SCD抢救成功的关键。
目的：分析心髒性猝死(SCD)的臨床特點、危險因素和心肺複囌治療情況。方法：54例住院SCD患者，分析其常見病因、誘因、心電圖錶現和心肺複囌成功率。結果：54例SCD患者，最常見的病因為冠心病41例(75.9%)，即時心電圖示室顫為主，經心肺複囌、電除顫、急診冠脈支架等處理，54例SCD中16例恢複自主循環，6例存活齣院，存活率為11.1%。結論：老年、急性冠脈綜閤徵、電解質紊亂閤併多種疾病是導緻SCD的重要誘髮因素。心電圖顯示複雜性室性心律失常、室內多束支阻滯等應註意SCD，儘早除顫是提高SCD搶救成功的關鍵。
목적：분석심장성졸사(SCD)적림상특점、위험인소화심폐복소치료정황。방법：54례주원SCD환자，분석기상견병인、유인、심전도표현화심폐복소성공솔。결과：54례SCD환자，최상견적병인위관심병41례(75.9%)，즉시심전도시실전위주，경심폐복소、전제전、급진관맥지가등처리，54례SCD중16례회복자주순배，6례존활출원，존활솔위11.1%。결론：노년、급성관맥종합정、전해질문란합병다충질병시도치SCD적중요유발인소。심전도현시복잡성실성심률실상、실내다속지조체등응주의SCD，진조제전시제고SCD창구성공적관건。
Objective:To analyze the sudden cardiac death(SCD) clinical characteristics,risk factors and cardiopulmonary resuscitation treatment. Method:54 patients with SCD in hospital were analyzed the common cause,incentive and performance of electrocardiogram and the success rate of cardiopulmonary resuscitation.Result:54 cases of SCD,41 cases(75.9%) were coronary heart disease,which were the most common disease,real-time electrocardiogram showed ventricular fibrillation,such as processing of the cardiopulmonary resuscitation,electrical shock,emergency coronary stents,16 cases of spontaneous circulation was recovery in 54 cases of SCD,6 cases survived,the survival rate was 11.1%.Conclusion:Elderly,acute coronary syndrome,electrolyte disorder with a variety of diseases is an important causative factor in SCD. Complexity of the electrocardiogram of ventricular arrhythmia,indoor bundle branch block should be paid attention to SCD,early defibrillation is the successful key to improve the SCD rescue.
