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在人类心脏骤停期间喘息是常见的,并与改善生存率有关
Bentley J Bobrow1, Mathias Zuercher, Gordon A Ewy
1Department of Health Services, Bureau of Emergency Medical Services and Trauma System, , Tucson, Arizona , USA.
Circulation
|November 26, 2008
概括
心脏骤停后喘息很常见,并与显著增加的存活率有关. 对于旁观者和调度员来说,识别气喘至关重要,以确保迅速的复苏工作.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 复苏科学复苏科学 复苏科学
背景情况:
- 心脏骤停后喘息的发生率和临床意义仍然是争论的主题.
- 以前对气喘在心脏骤停结果中的作用的理解是有争议的.
研究的目的:
- 调查医院外心脏骤停 (OHCA) 患者中喘息的发生率.
- 为了确定喘气和医院出院后的生存率之间的相关性.
- 评估紧急医疗系统 (EMS) 抵达时间对喘气患病率的影响.
主要方法:
- 城消防局调度记录中的OHCA案件的回顾性分析.
- 分析了1218个EMS急救报告,以评估相对于EMS到达时间的喘气发病率.
- 主要结局指标:存活到出院.
主要成果:
- 39%的试图复苏的患者出现了气喘.
- 随着EMS到达时间的延长,气喘发作的发生率显著下降 (33%是在逮捕后到达的,而在>9分钟到达时为7%).
- 喘息的患者存活到出院的几率增加了3.4倍 (28%对8%).
- 在接受旁观者心肺复苏的患者中,喘气与生存率增加5.1倍 (39%对9%) 相关.
结论:
- 气喘或异常呼吸是心脏骤停后立即经常发生的,但随着时间的推移迅速减少.
- 喘气的存在与心脏骤停后改善的生存结果密切相关.
- 建议对旁观者和急救医疗调度员进行教育举措,以强调识别喘息和及时启动复苏的重要性.
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