摘要
目的 了解ICU中心肺复苏病人的复苏成功率、存活率以及基础疾病与复苏成功率之间的关系。方法 对 1995年～ 1999年在我院急救科ICU中经历过心肺复苏 (CPR)的病人病史进行回顾性研究。结果 5年中共有 15 3例病人经历过CPR ,平均年龄 5 9岁 ,39例(2 5 5 % )CPR成功 ,但最终仅有 10例 (6 5 % )存活出院 ,CPR后存活者与未存活者在年龄和CPR持续时间上有一定差别 ,在性别和基础疾病上差异无显著意义。CPR前的基础疾病分别为心脑血管疾病 44例 (2 8 8)、感染性疾病 2 6例 (17 0 % )、胃肠道疾病 18例 (11 8% )、呼吸系统疾病 14例 (9 2 % )、恶性肿瘤 14例 (9 2 % )等。结论 年龄是影响ICU中心肺复苏成功与否的一项重要因素 。
Objective To report the survival rate and outcome after cardiopulmonary resuscitation in an intensive care unit,and the relation between successful CPR and patients with acute illness or chronic medical conditions.Methods We present a retrospective review of all patients undergoing CPR in an intensive care unit during 5 years period(1995～1999).Results One hundred fifty three CPR records were reviewed,patient mean age was 59 years old.Although 39(25 5%) patients were initially resuscitated,only 10(6 5%) ultimately survived to hospital discharge.The patients who were successfully resuscitated were different from the patients who were not successfully resuscitated in age and duration of CPR,but sex and primary diagnoses were similar among them.The primary contributing diagnoses at time of admission were cardiovascular-cerebrovascular disease in 44(28 8%),infectious disease in 26(17 0%),respiratory disease in 14(9 2%),malignancy in 14(9 2%).Conclusion Age was independently associated with outcome after CPR.Cardiovascular-cerebrovascular disease and infection disease were common among patients who required CPR in ICU.
出处
《中华急诊医学杂志》
CAS
CSCD
2001年第6期373-375,共3页
Chinese Journal of Emergency Medicine
基金
上海市科委科技发展基金项目 (0 0 41190 49)
关键词
心肺复苏
心搏骤停
重症监护
Cardiopulmonary resuscitation
Cardiac arrest
Intensive care
