心搏骤停患者心肺复苏过程中呼气末二氧化碳分压的比较

发布时间：2018-05-03 19:09

本文选题：心搏骤停 + 心肺复苏　；参考：《临床肺科杂志》2015年06期

【摘要】：目的探讨心搏骤停患者心肺复苏过程中呼气末二氧化碳分压(PETCO2)的变化情况。方法选取本院2011年10月~2013年12月诊治的心搏骤停患者86例,均行心肺复苏治疗和PETCO2监测。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,比较两组患者不同时间点PETCO2的变化情况。根据存活时间,将观察组分为两组,19例患者于24h内死亡为A组,15例患者存活大于24h为B组,比较两组患者不同时间点PETCO2的变化情况。结果对照组患者PETCO2先升高后降低,观察组患者PETCO2持续升高,观察组患者PETCO2在多个时相点均明显高于对照组,差异均有统计学意义(P0.05);A组与B组患者PETCO2均持续升高,B组患者PETCO2在多个时相点均明显高于A组,差异均有统计学意义(P0.05)。结论心搏骤停患者心肺复苏过程中,PETCO2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。
[Abstract]:Objective to investigate the changes of end-expiratory carbon dioxide partial pressure (PETCO 2) during cardiopulmonary resuscitation (CPR) in patients with cardiac arrest. Methods 86 patients with cardiac arrest from October 2011 to December 2013 were treated with cardiopulmonary resuscitation (CPR) and monitored by PETCO2. According to the effect of resuscitation, 34 patients were divided into two groups: control group (n = 52) and control group (n = 52). The changes of PETCO2 at different time points were compared between the two groups. According to the survival time, the observation group was divided into two groups, 19 patients died within 24 hours, 15 patients in group A survived more than 24 hours in group B, and the changes of PETCO2 at different time points in two groups were compared. Results the PETCO2 of the control group increased first and then decreased, and the PETCO2 of the observation group increased continuously. The PETCO2 of the observation group was significantly higher than that of the control group at many time points. The PETCO2 of group B was significantly higher than that of group A (P 0.05) and PETCO2 of group B (P 0.05) was significantly higher than that of group A (P 0.05). Conclusion PETCO _ 2 is closely related to the prognosis of patients with cardiopulmonary resuscitation and can be used as an effective monitoring index for prognosis of cardiopulmonary resuscitation.
【作者单位】：佛山市中医院急诊科;
【分类号】：R541.78

【参考文献】