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目的分析在院外急救过程中呼吸心跳骤停患者即刻临床表现及抢救措施特点,探讨急救过程中呼吸心跳骤停的相关因素。方法对2010年10月1日～2013年3月1日期间,天津急救中心急救病例中急救车到达现场时仍有生命体征,在医护人员现场实施心电监护状态下发生呼吸心跳骤停患者1 0 6例进行回顾性分析。结果 106例病例中,男69例,女37例,其中呼吸心跳骤停发生在现场的95例,占89.62%。发生在转运途中的11例,占10.38%。其中从现场转往医院7例,占6.6%,医院间转诊4例,占3.78%。主诉以呼吸困难和意识障碍为主,分别占29.25%和27.3 6%,现场大部分均有明显生命体征异常,无明显生命体征异常占12.1%。结论双向性缩短心跳呼吸骤停专业急救反应时间;快速识别危重症,本着先救命后治病原则,积极现场抢救,完善现场搬抬手法;强化风险意识,提高风险识别能力,多路径降低院外急救过程中呼吸心跳骤停的发生。
Objective To analyze the immediate clinical manifestation and rescue measures of patients with respiratory arrest during first aid emergency in hospital and explore the related factors of sudden cardiac arrest during emergency. Methods From October 1, 2010 to March 1, 2013, emergency ambulances in Tianjin First Aid Center still had vital signs when they arrived at the scene. During the implementation of ECG monitoring on the scene of the health care workers, sudden cardiac arrest occurred 0 6 cases for retrospective analysis. Results Among the 106 cases, 69 were male and 37 were female, of which 95 cases (89.62%) occurred on the scene of respiratory arrest. Eleven cases occurred in transit, accounting for 10.38%. Among them, 7 were transferred from the hospital to the hospital, accounting for 6.6%, and 4 were inter-hospital referrals, accounting for 3.78%. The main complaints were dyspnea and disturbance of consciousness, accounting for 29.25% and 27.3% respectively. Most of the patients had obvious abnormal signs of vital signs, and 12.1% had no obvious signs of vital signs. CONCLUSION: The first-aid response time can be shortened in patients with cardiac arrest and cardiac arrest. The rapid diagnosis of critical illness is based on the principle of first aid and rescue after treatment. The site rescue can be carried out on site and the move can be carried out on site. The awareness of risk can be enhanced to increase the ability of risk identification. Emergency respiratory arrest occurred during the arrest.