心博骤停患者心肺复苏过程中呼气末二氧化碳分压的比较.docVIP

精品论文 参考文献 心博骤停患者心肺复苏过程中呼气末二氧化碳分压的比较 黄京东 　　（重庆市綦江区中医院急救部 重庆 401420） 　　【摘要】 目的：探讨心博骤停患者心肺复苏过程中呼气末二氧化碳分压的变化。方法：心博骤停患者86例根据复苏效果分为两组，34例患者自主循环恢复（ROSC）为观察组，52例患者复苏未成功为对照组。结果：对照组患者呼气末二氧化碳分压先升高后降低，在T2时达到最高，在T5时降至最低。观察组患者呼气末二氧化碳分压持续升高，在T5时达到最高。观察组患者呼气末二氧化碳分压在T2、T3、T4、T5时均明显高于对照组（P＜0.05）。结论：心博骤停患者心肺复苏过程中，呼气末二氧化碳分压与患者预后密切相关，可作为心肺复苏预后的有效监测指标。 　　【关键词】 心博骤停；心肺复苏；呼气末二氧化碳分压 　　【中图分类号】R54 【文献标识码】A 【文章编号】2095-1752（2016）18-0178-02 　　Comparison of end tidal carbon dioxide partial pressure during cardiopulmonary resuscitation in patients with cardiac arrest Huang Jingdong Department of First aid, Hospital of traditional Chinese Medicine, Qijiang District, Chongqing City 401420,China 　　【Abstract】 Objective To investigate changes of end tidal carbon dioxide partial pressure during cardiopulmonary resuscitation in patients with cardiac arrest. Methods According to effect of resuscitation, 86 patients with cardiac arrest were divided into two groups. 34 patients were ROSC as observation group. 52 patients were not successful resuscitation as control group. Results End tidal carbon dioxide partial pressure increased first and then decreased in control group , highest point was T2 while lowest point was T5. End tidal carbon dioxide partial pressure continued to increase while highest point was T5. End tidal carbon dioxide partial pressure at T2; T3; T4; T5 in observation group were significantly higher than control group(Plt;0.05). Conclusion During cardiopulmonary resuscitation in patients with cardiac arrest, end tidal carbon dioxide partial pressure is closely related to prognosis, which can be used as an effective indicator in prognosis of cardiopulmonary resuscitation. 　　【Key words】 Cardiac arrest; Cardiopulmonary resuscitation; End tidal carbon dioxide partial pressure 　　心博骤停是临床较为常见的一种心脏疾病，而心肺复苏是抢救心博骤停患者生命的重要方法[1]，其成功的关键与否直接关系着患者的预后状况。此次研究对86例心博骤停患者行心肺复苏治疗和呼气末二氧化碳分压监测，现报道如下。 　　1.资料与方法 　　1.1 资料 　　本院2011年10月～2013年12月诊治的心博骤停患者86例，入选标准：急诊室内