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编号:11401451
老年人心肺复苏的特点分析
http://www.100md.com 《实用老年医学》 2006年第6期
急救;,心肺复苏术;,老年人,1资料与方法,2结果,3讨论,参考文献
     【摘要】 目的 探讨急诊科进行心肺复苏的老年病人病因和治疗等方面的特点。 方法 对进行心肺复苏的老年病人与非老年患者之间以及不同年龄段的老年人之间进行多方面回顾性及对照性研究。 结果 ① 老年人心肺复苏患者与非老年人相比在某些病因上有明显的差异。②普通成人推荐的肾上腺素剂量和双相波除颤仍是老年人心肺复苏时的首选。③随年龄的增加,老年人存活正常出院率及自主循环恢复率呈现较明显的下降趋势。④不同年龄段的老年患者中,病因为多器管功能不全综合征(MODS)的≥80岁的患者与<80岁的老年患者存在显著性差异。 结论 老年人的心肺复苏的病因及治疗有其自身的特点,深入探讨研究这些特点,有助于我们提高老年人心肺复苏的水平。

    【主题词】 急救; 心肺复苏术; 老年人

    Characteristics of the elderly patients having accepted cardiopulmonary resuscitation in the emergency department TIAN Xin,MAO Xiaoyuan,TAO Jie.Department of Emergency , Lishui City Central Hospital.Lishui 323000 China

    【Abstract】 Objective To discuss and study the characteristics of etiological factors and treatment in elderly patients who came to emergency department for cardiopulmonary resuscitation Methods Retrospective and control study was carried out between the older and nonolder patients, or between the different age groups in elderly patients. Resukts In some etiological factor,the difference was obvious between elderly patients and nonolder patients.During the cardiopulmonary resuscitation on elderly patients, the adult recommended dosage of epinephrine and biphasic waveform defibrillation were preferred.With the age increasing, the rate of spontaneous circulation restoration and the survival rate showed obvious downtrend.Between the different age segment ......

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