Outcome of cardiopulmonary resuscitation in children.
Outcome of cardiopulmonary resuscitation in children.
复制标题
DOI：
10.1097/00006565-198712000-00004
复制
发表时间：
1987-12-01
影响因子：
1.4
通讯作者：
Wrape, V
中科院分区：
文献类型：
--
作者：
Fiser, D H;Wrape, V
为了确定与儿科心肺复苏(CPR)结果相关的因素，进行了一项研究。共有35名儿童经历了总共41次心肺骤停。41例患者中16例(39%)无法复苏，16例(39%)暂时复苏但未能存活出院，9例(22%)存活至出院。在医院外被逮捕的患者在现场接受早期基础CPR治疗后，至少暂时复苏的可能性显著高于未接受复苏的患者(8/8比5/11；P=0.02)。初始动脉血pH>7.0的患者与初始动脉血pH<7.0的患者之间的预后差异也有统计学意义(P<0.05)。我们的结论是，初始动脉血pH值低于7.0预示着儿童心肺骤停的不良结局。早期基础心肺复苏可能会改善初始pH和患者复苏的能力。
A study was undertaken in order to identify factors correlated with the outcome of pediatric cardiopulmonary resuscitation (CPR). A total of 35 children who experienced a total of 41 cardiopulmonary arrests were included. Sixteen of 41 patients (39%) could not be resuscitated; 16/41 (39%) were resuscitated temporarily but did not survive to discharge; 9/41 (22%) survived to discharge. Patients arresting outside the hospital who received early basic CPR at the scene were significantly more likely to be resuscitated, at least temporarily, than those who did not (8/8 vs 5/11; P = 0.02). A statistically significant difference in outcome was also demonstrated between patients with an initial arterial blood pH greater than 7.0 and those with an initial arterial blood pH less than 7.0 (P less than 0.05). We conclude that an initial arterial blood pH less than 7.0 predicts a poor outcome from cardiopulmonary arrest in children. Access to early basic CPR may improve the initial pH and the ability of the patient to be resuscitated.