干旱区生态环境知识资源中心(Arid): 有效人工通气在心脏疾患致心搏骤停心肺脑复苏中价值的探讨

Arid

	有效人工通气在心脏疾患致心搏骤停心肺脑复苏中价值的探讨
其他题名	Study about the value of artificial ventilation in cardiac pulmonary cerebral resuscitation (CPCR) for patients with cardiogenic cardiac arrest
	宋志芳; 郭晓红; 潘祝平; 王树云; 顾茵; 朱赟琳; 谢伟; 殷娜; 谢伟霖; 张悦; 单慧敏; 陈列彬; 李文华
来源期刊	中国急救医学
ISSN	1002-1949
出版年	2002
卷号	22 期号:3 页码:135-137
中文摘要	目的评价A(airway)、B(breath)、C(circulation）抢救步骤在心脏疾患致心搏停患者心肺脑复苏（CPCR）中的价值。方法收集因心脏疾患致心搏骤停行CPCR患者的临床资料（44例，男29例，女15例，年龄40－85岁，平均70．011．6岁），按照CPCR实际操作过程中所采取的ABC先后顺序不同，将患者分为C、CAB、SAB、ABC组。CAB组中，按照C与AB步骤采取的间隔时间不同，分＜5min、5－10min、＞10min组。统计各组Ⅰ、Ⅱ、Ⅲ期复苏成功率（％），chi^2检验统计各组复苏成功率差异显著性。结果 C组（32例次，11例）中，各期复苏成功率均＞87．5％，显著高于其它各组（P＜0．01）。CAB组（24例）C－AB间隔时间不等，各期复苏成功率不等，C－AB＜5min组各期复苏成功率明显高于＞5min组（P＜0．05－0．01）。AB组（3例）与ABC组（6例）各期复苏成功率33．3％－100％，显著高于CAB组（P＜0．01）。结论 CAB是心脏疾患致心搏骤停患者CPCR中可取的抢救步骤，但5min可能是进行有效人工通气的极限。
英文摘要	Objective To evaluate the value of the rescue steps of ABC or other orders of them for patients with cardiac arrest from cardiac diseases and undergone CPCR( cardiac pulmonary cerebral resuscitation) .Methods The clinical data from 44 cases, male/female 29/ 15,40 - 85(70.0 11 .6)y. All of them were organic cardiac diseases. The patients had been divided into four groups of CNCAJKABNABC according to the different order for ABC steps during CPCR. On group of CAB patients were divided to another three groups of < 5 mi^5 ~ 10 min% > 10 min according to tho different periods between C and AB steps. The successful rate(%) of three stages for every grorp of them were analyzed respectively by ^2 of statistic analysis in order to evaluate the significance of difference among them . Results On group of C ( 32 times for 11 cases)the successful rates for every stage was more than 87.5% and significant higher than others ( P < 0.01) . On group of CAB(24 cases) were made different duration for C - AB and the successful rates for different stages were different. Among them the successful rates of three stages for group of C - AB < 5 min was higher than the group of patients with > 5 min( P <0. 05-0. 01). On group of AB(3 oases) and ABC(6 cases) the successful rates for different stages were 33.3% ~ 100% and significant higher than the group of CAB (P < 0.01). Conclusions For the patients with cardiogenic cardiac arrest the order of CAB rescue steps is a useful way during CPCR. But when C step could not been successful during 5 min the effective ventilation should be taken without hesitate.
中文关键词	心搏骤停 ; 心肺脑复苏 ; 人工气道 ; 通气
英文关键词	A(airway) B(breath) C(circulation) unespected cardiac arrest cardiac pulmonary cerebral resuscitation (CPCR) A (airway) B (breath) C (circulation) artificial airway effective artificial ventilation
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1106968
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/203620
作者单位	上海第二医科大学附属新华医院内科ICU, 上海 200092, 中国
推荐引用方式 GB/T 7714	宋志芳,郭晓红,潘祝平,等. 有效人工通气在心脏疾患致心搏骤停心肺脑复苏中价值的探讨[J],2002,22(3):135-137.
APA	宋志芳.,郭晓红.,潘祝平.,王树云.,顾茵.,...&李文华.(2002).有效人工通气在心脏疾患致心搏骤停心肺脑复苏中价值的探讨.中国急救医学,22(3),135-137.
MLA	宋志芳,et al."有效人工通气在心脏疾患致心搏骤停心肺脑复苏中价值的探讨".中国急救医学 22.3(2002):135-137.