CAJ | 학술논문

目的：探讨心脏骤停患者实施静注大剂量肾上腺素抢救的临床治疗效果。方法回顾性分析2013年4月-2014年4月入该院利用静脉注射肾上腺素抢救的心脏骤停患者146例的临床资料，依据肾上腺素使用剂量分组，大剂量79例纳入实验组，常规剂量67例纳入对照组，对两组患者心肺复苏成功率进行比较分析。结果实验组心肺复苏成功率明显高于对照组，差异有统计学意义(P<0.01)。结论对心脏骤停患者实施静注大剂量肾上腺素抢救具有较高的心肺复苏成功率，值得在临床使用推广。
목적：탐토심장취정환자실시정주대제량신상선소창구적림상치료효과。방법회고성분석2013년4월-2014년4월입해원이용정맥주사신상선소창구적심장취정환자146례적림상자료，의거신상선소사용제량분조，대제량79례납입실험조，상규제량67례납입대조조，대량조환자심폐복소성공솔진행비교분석。결과실험조심폐복소성공솔명현고우대조조，차이유통계학의의(P<0.01)。결론대심장취정환자실시정주대제량신상선소창구구유교고적심폐복소성공솔，치득재림상사용추엄。
Objective To investigate the clinical therapeutic effect of intravenous injection of high dose of adrenaline for the treat-ment of patients with sudden cardiac arrest. Methods The clinical data of 146 cases with sudden cardiac arrest treated by intra-venous injection of adrenaline in our hospital from April 2013 to April 2014 were analyzed retrospectively. According to the used dose of adrenaline, the patients were grouped, 79 cases with high dose of adrenaline, 67 cases with conventional dose of adrenaline were selected as the experimental group and the control group, respectively. And the success rate of cardiopulmonary resuscitation of the two groups was compared and analyzed. Results The success rate of cardiopulmonary resuscitation in the experimental group was significantly higher than that in the control group, there was significant difference between the groups (P<0.01). Conclusion Intravenous injection of high dose of adrenaline for patients with sudden cardiac arrest can achieve higher success rate of car-diopulmonary resuscitation, which is worthy of clinical application and promotion.