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作者从经济角度考虑,根据Louisville医院创伤中心在1993年3月底以前41个月中救治245例心脏停搏的经验提出复苏的指征.全组245例,男176,女69例,年龄39±21岁(13～88岁),153例发生创伤的地点邻近,用救护车运送(占62.4%);36.7%运用直升机输送.平均转运时间为27.1±13.2分钟.在创伤中心管辖半径为150英里的范围内,救护车和直升机输送病人至急诊室的时间分别为27.1±13.2和17.8±8.9分钟.幸存者和死亡者的年龄无明显差异.直升机输送病人中幸存和潜在存活者的比例较高于未存活者,但差别无显著性.58%心搏停止发生在受伤地点,第一次停搏的发生地点不能预示生存率.54例(22%)心搏恢复,31例又发生第2或第3次停搏,停搏一次以上均未能存活.一般而言,停搏10分钟以上者均死亡.车祸是最常见的损害(50.6%),66.7%的幸存者和53.3%的潜在存活者系钝性伤,损害机制(钝性或穿透伤)不能预测幸存和潜在存活率.245例病人遭受490处大损伤,平均每人2处大损伤.半数幸存者有轻度闭合性脑损伤.62%病人有胸部伤.195例在受伤地已无脑功能,35例在输送途中神经功能恶化,到达医院急诊室时93.7%病人已无脑功能.严重原发性脑损伤者均死亡.
From an economic perspective, the authors propose indications for resuscitation based on the experience of 245 patients with cardiac arrest during the 41 months prior to the end of March 1993 in the Louisville Hospital Trauma Center.265 patients were male, 176 and female, with a mean age of 39 ± 21 years old (13 to 88 years old), 153 cases of trauma near the site, ambulances (62.4%), 36.7% of helicopters were transported with an average transit time of 27.1 ± 13.2 minutes, and a radius of 150 miles , Ambulances and helicopters delivered patients to the emergency room for 27.1 ± 13.2 and 17.8 ± 8.9 minutes, respectively.No significant difference was found in the age of survivors and those who died.The helicopter delivered a higher proportion of survivors and potential survivors Survivors, but the difference was not significant.58% asystole occurred at the site of the injury, the first place of arrest can not predict the survival rate of 54 patients (22%) recovery of heart rate, 31 patients occurred in 2 or In the third arrest, more than one time of arrest failed to survive.Generally speaking, all patients who had been stopped for more than 10 minutes died.The most common injuries were car accidents (50.6%), 66.7% of survivors and 53.3% of potential survivals Department of blunt injury, damage mechanisms (blunt or penetrating injury) can not predict the survival and Survival rate .245 patients suffered 490 major injuries, with an average of 2 major injuries per person. Half of the survivors had mild closed brain injury, 62% had chest injuries, 195 had no brain function after injury, 35 For example, 93.7% of the patients had no brain function at the hospital emergency room when their neurological function deteriorated during delivery, and severe primary brain injury was death.