东莞地区青年及未成年人群心跳骤停特征的流行病学调查

发布时间：2018-08-07 18:45

【摘要】：目的分析东莞地区青年及未成年人群心跳骤停(SCA)的特点以及心源性猝死(SCD)的病因和临床特点。方法收集东莞地区5个区域代表性医院2010年1月至2015年12月收治的青年及未成年人群SCA病例资料,分析患者的基本资料、发病诱因、发生地点、有无目击者心肺复苏(CPR)、呼叫120至救护车到达现场时间、呼叫120至确定SCA时间、反应时间、自主循环恢复的例数,CPR开始至首次电除颤时间,建立人工气道及首剂肾上腺素时间,患者入院和出院的存活率,记录所有患者最后的诊断结果。结果 SCA患者共7 432例,其中出现SCD的患者5 136例(69.11%),273例存活出院,出院存活率为3.67%。7 432例SCA患者中,平均年龄(25.17±12.12)岁,患者在21~25岁的年龄段比例最高,占SCA患者的24.95%;73%的患者发病地点在公共场所;自主循环恢复患者的反应时间、救护车到达时间、确定SCA时间、首次除颤时间、建立气道时间和首剂肾上腺素时间均显著低于自主循环未恢复的患者(P0.001);5 136例SCD猝死者中,冠心病占26.83%,心肌病占20.81%,心传导系统异常占18.83%,诱因不明的患者占22.78%,诱因为饮酒的占16.59%,运动和过度劳累占14.64%,情绪激动占12.15%。结论东莞地区SCA发生后旁观者参与复苏率低,复苏成功率低,SCD为猝死主要类型,冠心病为主要病因,饮酒、运动和过度劳累、情绪激动是主要的诱因。
[Abstract]:Objective to analyze the characteristics of cardiac arrest (SCA) and the etiology and clinical features of sudden cardiac death (SCD) in young people and minors in Dongguan. Methods the data of SCA cases of young people and minors admitted to five representative hospitals in Dongguan from January 2010 to December 2015 were collected, and the basic data of the patients, the causes and location of the disease were analyzed. There were no witnesses to call 120 to ambulance arrival time, call 120 to determine SCA time, reaction time, number of cases of spontaneous circulation recovery to the first electrical defibrillation time, establish artificial airway and first dose of epinephrine, establish artificial airway and first dose of epinephrine, establish artificial airway, and establish the first dose of epinephrine. Survival rates at admission and discharge were recorded and final diagnostic results were recorded for all patients. Results among 7 432 patients with SCA, 5 136 (69.11%) patients with SCD survived and 273 patients were discharged from hospital. The average age of SCA patients was (25.17 卤12.12) years. 24.95% of the patients with SCA are in public places, the response time of patients with spontaneous circulation recovery, the time of ambulance arrival, the time of determining SCA, the time of first defibrillation, The time of establishing airway and the time of first-dose adrenaline were significantly lower than that of 5136 patients with sudden death of SCD (P0.001). Coronary heart disease accounted for 26.83%, cardiomyopathy 20.81%, abnormal cardiac conduction system 18.83%, patients with unknown inducement 22.78 measures, induced drinking 16.59%, exercise and overwork 14.64%, emotional stimulation 12.15%. Conclusion the rate of onlooker participation in resuscitation is low and the success rate of resuscitation is low. Coronary heart disease is the main cause of sudden death. Drinking, exercise, overwork and emotional stimulation are the main causes of sudden death.
【作者单位】：东莞市厚街医院急诊科;中山大学附属东华医院急诊医学科;中山大学附属东华医院重症医学科;东莞塘厦医院重症医学科;东莞塘厦医院急诊科;东莞康华医院急诊科;
【基金】：东莞市医疗卫生一般项目(编号:201610515001192) 2014年东莞市社会科技发展项目(编号:2014108101013)
【分类号】：R541.78

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