简介:【摘要】目的:探析急诊CPR成功的影响因素。方法:分析我院急诊科收治的行CPR治疗的171例患者临床资料,按照CRP治疗是否成功将其分为CPR成功组与CPR失败组,观察影响急诊CPR成功的影响因素。结果:171例行CPR干预急诊患者,CPR成功为35例,复苏成功率为20.47%,失败136例,复苏失败率为79.53%,对影响急诊CPR成功因素进行分析发现,两组在抢救时间、抢救地点、抢救半径、气管插管、除颤、病因等方面差异具备统计学意义(P<0.05),在胺碘酮用量、性别方面差异不具备统计学意义(P>0.05)。结论:急诊CPR成功率有待提升,而抢救时间、抢救地点、抢救半径、气管插管、除颤、病因均为影响CPR成功因素,提示抢救医务人员应依据上述情况针对性予以干预,如积极气管插管、除颤等,最大程度提升急诊CPR成功率。
简介:Cardiopulmonaryresuscitationisasimpleandeffectivemedicaltreatmentforpatientswithsuddencardiacarrest.MostresearchesonCPRareanimalexperimentsandhumantrials.Becausetherearemanyconfoundingfactorspresentinexperiments,conflictingconclusionsareoftendrawn.Inthispaper,wefollowedthelineoftheoreticalresearchonCPR.Then,weadaptedpreviousCPRmodels,simulatedriveCPRtechniquesusingtheadaptedmodel,andcomparedtheirhemodynamicsinthesametestsystem.Throughthecomparison,thesimulationresultsagreequitewellwithexperimentaldata.ThesimulationresultsshowthatwhenexternalcounterpulsationisappliedduringCPR,itmayimprovethecardiacoutputandincreasethediastolicaorticpressure.Yet,externalcounterpulsationisnotwidelyusedduringCPR.Wethinkthatthisexperimentdeservesfurtherresearch.Giventhebenefitsofmodelsandsimulations,ouradaptedmodelmaybeausefultoolinCPRresearch.