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目的分析ICU患者心脏骤停的原因及心肺脑复苏的结果。方法回顾性分析233例入住ICU并行心肺复苏患者的临床资料,其中创伤99例,内科疾病91例,中毒29例,原因不明14例。观察不同原因导致的心脏骤停后心肺复苏和脑复苏的成功率。结果 233例心脏骤停患者中,心肺复苏成功79例(33.9%),脑复苏成功21例(9.0%)。内科疾病患者的心肺复苏成功率最高,与创伤、原因不明患者比较差异有统计学意义(45.1%vs.27.3%、7.1%)(P<0.05);原因不明患者的脑复苏成功率最低,与创伤、内科疾病和中毒患者比较差异均有统计学意义(0vs.8.1%、11.0%和10.3%)(P<0.01)。结论 ICU心脏骤停的主要原因为严重心肺脑疾病或多发性创伤,中毒也占一定的比例。内科疾病患者的心肺复苏成功率最高,原因不明患者的脑复苏成功率最低。
Objective To analyze the causes of cardiac arrest in patients with ICU and the results of cardiopulmonary and cerebral resuscitation. Methods A retrospective analysis of 233 patients admitted to ICU in patients with CPR clinical data, of which 99 cases of trauma, 91 cases of medical diseases, 29 cases of poisoning, unexplained 14 cases. To observe the success rate of cardiopulmonary resuscitation and cerebral resuscitation after cardiac arrest caused by different causes. Results Of 233 patients with cardiac arrest, 79 (33.9%) were successful in cardiopulmonary resuscitation and 21 (9.0%) were successful in cerebral resuscitation. The patients with medical diseases had the highest success rate of cardiopulmonary resuscitation (P <0.05), the difference was statistically significant (P <0.05) between those with trauma and unexplained causes (45.1% vs.27.3%, 7.1% There were significant differences in trauma, medical diseases and poisoning among patients (0 vs.8.1%, 11.0% and 10.3%) (P <0.01). Conclusion The main cause of ICU cardiac arrest is serious cardiopulmonary and cerebral diseases or multiple trauma, and poisoning also accounts for a certain proportion. Cardiopulmonary resuscitation patients with the highest success rate of medical diseases, unexplained patients with the lowest success rate of brain resuscitation.