关键词： 病例报告   复苏术   体外循环   心脏外科手术   人类  

关键词： 复苏术   心脏停搏/护理   心脏停搏/治疗   人类  

关键词： cardiopulmonary resuscitation   death, sudden   heart-assist device   INTERNATIONAL LIAISON COMMITTEE   SUPPORT WORKING GROUP   ADVISORY STATEMENT   LIFE-SUPPORT   ACD-CPR   INJURIES   CIRCULATION   STANDARD  

摘要： Background-Several methods have been developed to improve the efficacy of mechanical resuscitation, because organ perfusion achieved with conventional manual resuscitation is often insufficient. In animal studies, phased chest and abdominal compression-decompression resuscitation by use of the Lifestick device has resulted in a better outcome compared with that of conventional resuscitation. In end-of-life patients, an increased coronary perfusion pressure was achieved. The aim of the present study was to determine the feasibility, safety, and efficacy of the Lifestick compared with conventional resuscitation in patients with sudden nontraumatic out-of-hospital cardiac arrest. Methods and Results-The crews of 4 mobile intensive care units, staffed by an emergency physician and a paramedic, were trained to use the device. Fifty patients were randomized by sealed envelopes to either Lifestick (n=24) or conventional (n=26) resuscitation. No differences were found regarding demographic and logistical conditions between the groups. Nineteen of the patients (73%) with conventional resuscitation had ventricular fibrillation, 13 of whom survived to hospital admission (no survivals with other arrhythmias) and 7 were discharged. In contrast, in the Lifestick-CPR group, only 9 patients had ventricular fibrillation (38%; P= <0.02; OR, 2.5; 95% CI, 0.6 to 10.6). Four of these 9 patients and 5 of 15 patients with other arrhythmias survived to hospital admission, but none survived to hospital discharge. Autopsy in a subgroup of patients who died at the scene revealed less injuries with Lifestick than with conventional resuscitation. Conclusion-Lifestick resuscitation is feasible and safe and may be advantageous in patients with asystole or pulseless electric activity.

关键词： 再次心脏瓣膜替换术   心理护理   复苏期  

摘要： 目的　探讨心理护理在再换瓣后复苏期的应用和意义。方法　自 1996年 1月～ 2 0 0 0年 12月我科共行再次心脏瓣膜替换术 43例 ,对 43例病人术前均到病房了解病人资料 ,做好术前心理指导和宣教 ;术后复苏期密切观察病人神志及生命体征 ,及时做好复苏期的心理安慰工作。结果　本组 43例病人中 ,住室时间为 1～ 14天 ,平均约 2天 ,机械辅助呼吸 7～ 384小时 ,死亡 2例。烦躁情绪缓解 80 % ,焦虑的缓解 90 % ,紧张情绪缓解 85 %。通过心理护理进一步促进再换瓣病人对复苏信心。结论　再次心脏瓣膜替换术后进行心理安慰及精神上的鼓励、使患者更好的配合治疗和监护工作、使护理工作更加顺利 ,增强了病人战胜疾病的信心 。

关键词： 颈丛阻滞麻醉   心搏骤停   心脏复苏   脑复苏  

关键词： 心搏呼吸骤停   心脏复苏  

摘要： 患者,男,46岁,农民.因'5年内夜间反复发作性晕厥3次'入院.查体:血压14/8kPa(1kPa＝7.5mm Hg),脉搏60次/min.两肺无殊;心界略向左下扩大,心律60次/min,律齐,各瓣膜区未闻及病理性杂音;腹部无殊.辅助检查:心脏彩超示左房、右房、左室扩大.心脏电生理检查示:①AV时间和HV时间延长;②窦房结传导时间延长.入院诊断:扩张性心肌病,窦房结功能减退,心源性晕厥.

关键词： 心脏紧急救治   心肺复苏   国际指南2000  

摘要： 一、新指南的由来美国有关心脏紧急救治(emergency cardiac care,ECC)和心肺复苏(cardiopulmonary resuscitation,CPR)的指南(简称指南),原由美国心脏病学会(American heart association,AHA),及其下属的各个专业委员会共同负责,先后多次出版,1992年公布新的指南,鉴于近几年来,这方面又有了不少进展和新的认识,故AHA于1998年开始着手进行指南的再次修订,并确定将指南于2000年修订成国际指南(简称新指南)的目标.

关键词： 呼吸心跳停止   抢救   心脏复苏   病例报告  

摘要： 1 病例报告患者男,18岁,南方新战士。咽痛、声音嘶哑半年,头痛、鼻塞、畏寒3天,曾自服'金嗓子喉宝'数次。于2000—02—20 16:00在越野时突感轻度呼吸困难,当时未介意,饭后呼吸困难加重,随即由战友背来团卫生队。查体:脉搏46/min,血压8.7/5.7 kPa(65/43mmHg)。浅昏迷,耳廓、口唇中度紫绀,双侧瞳孔对光反射迟钝,锁骨上窝、胸骨上窝、肋间隙及上腹部凹陷,并伴有吸气性喘鸣及犬吠样咳嗽。继而患者意识丧失,呼吸停止,立即'口对口'人工呼吸,同时肌注尼可刹米0.375g,约5min 后,呼吸未恢复,心跳停止,

关键词： 心脏骤停   心脏复苏   抢救  

摘要： 心脏骤停是临床上经常遇到的急症之一,稍一疏忽患者就会失去生命.我科自1994年2月～1996年2月共收治心脏骤停病人34例,其中21例复苏成功.实践证明:有效的心肺复苏越早,存活率越高,神经系统的后遗症也越少.

关键词： 心脏骤停   心肺复苏   急救   电除颤  

摘要： 作者自1997年以来,以电除颤为主要复苏手段对24例心脏骤停患者进行复苏,现总结如下.