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Current status and prospect of prehospital Cardio pulmonary resuscitation in shanghai city
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 8
- DOI:
- 10.3760/j.issn:1671-0282.2004.08.004
- Key Word:
- 院前急救;心博骤停;复苏
Abstract： 目的探讨在我国实际情况下提高院前复苏成功的途径.方法回顾性地对上海市中心城区2003年院前心搏骤停复苏成功的143病例及失败的病例为对照,用Utstein模式进行资料对比分析.结果院前复苏成功与未成功各143例,心电图表现室颤(VF)、无脉搏心电活动(PEA)、直线分别为9.1%、32.7%、58.2%,对照组为7.7%、23.1%、69.2%;平均呼救-到达现场间期分别为9.46 min和9.42 min,由目击者进行心肺复苏的成功率分别为4.2%和0.7%.结论①上海院前急救的心搏骤停者中,VF只占少数.②在公民中普及CPR对提高复苏成功率有重要意义.③院前熟练掌握规范的BLSD-ACLS复苏技术,尽力缩短呼救-到达现场间期、首次除颤间期和到达医院间期是提高院前复苏成功率的关键.
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