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为了探讨影响小儿心肺复苏成败的有关因素,现将1991年12月～1993年2月我院监护病房收治的82例心肺复苏患儿治疗结果分析如下。1 临床资料1.1 一般资料本组82例,男69例,女13例,年龄最小2小时,最大10岁。1.2 原发病重症肺炎并心衰29例,重度硬肿症并肺出血14例,颅内出血伴吸入性肺炎9例,各种疾病所致脑水肿30例(肺炎脑病17例,重度缺氧缺血性脑病4例,结核性脑膜炎2例,病毒性脑炎2例,药物中毒5例)。1.3 复苏指征突然意识丧失,大动脉搏动与心音消失,呼吸停止或濒于停止。心率婴儿小于80次/分,儿童小于30次/分。
In order to explore the factors affecting the success or failure of pediatric cardiopulmonary resuscitation, the results of the treatment of 82 cases of children with cardiopulmonary resuscitation admitted to our hospital intensive care unit from December 1991 to February 1993 are as follows. 1 Clinical data 1.1 General Information The group of 82 patients, 69 males and 13 females, the youngest 2 hours, up to 10 years old. 1.2 primary disease of severe pneumonia and heart failure in 29 cases, severe sclerosis and pulmonary hemorrhage in 14 cases, intracranial hemorrhage with aspiration pneumonia in 9 cases, various diseases caused by cerebral edema in 30 cases (pneumonia encephalopathy in 17 cases, severe hypoxia 4 cases of bloody encephalopathy, tuberculous meningitis in 2 cases, 2 cases of viral encephalitis, drug poisoning in 5 cases). 1.3 signs of recovery Sudden loss of consciousness, aortic pulse and heart sounds disappear, breathing stopped or nearing a halt. Heart rate infants less than 80 beats / min, children less than 30 beats / min.