Cardiac arrest in Stockholm with special reference to the ambulance organization.
Cardiac arrest in Stockholm with special reference to the ambulance organization.
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斯德哥尔摩的心脏骤停，特别是救护车组织。
DOI：
10.1111/j.0954-6820.1987.tb10647.x
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发表时间：
2009
影响因子：
--
通讯作者：
Nina Rehnqvist
中科院分区：
文献类型：
--
作者：
J. Jakobsson;O. Nyquist;Nina Rehnqvist
在为期一年的时间内，所有患者的心脏骤停（CA）照顾三辆救护车进行了研究。发现110例心脏骤停/100，000居民/年的发病率。大多数CA影响老年人，并在白天发生在家中。大多数CA都是目击的，但只有少数情况下由旁观者开始心肺复苏术。救护车到达的平均时间为7.7 +/- 4.0分钟。48%的CA患者表现出室性心动过速或心室颤动（VT/VF）的救护车到达。救护车延误时间较长的患者VT/VF的发生率低于救护车延误时间较短的患者。由旁观者启动CPR的患者VT/VF的发生率（67%）显著高于无人值守的患者（45%）。此外，旁观者CPR与救护车延误时间延长的患者VT/VF发生率增加相关。86%的CA患者在救护车到达时存在VT/VF，这些患者接受了旁观者的心肺复苏，并且救护车在8分钟内到达。
During a one-year period all patients with cardiac arrest (CA) taken care of by three ambulances were studied. An incidence of 110 cardiac arrests/100,000 inhabitants/year was found. The majority of CAs affected the elderly and occurred during the day in their homes. The majority of CAs were witnessed but cardiopulmonary resuscitation (CPR) had been initiated by bystanders in only a few cases. The ambulance arrived within a mean time of 7.7 +/- 4.0 min. Forty-eight per cent of the CA patients showed ventricular tachycardia or ventricular fibrillation (VT/VF) on ambulance arrival. Patients with a prolonged ambulance delay showed a lower incidence of VT/VF than patients with a short delay. Patients in whom CPR had been initiated by bystanders showed a significantly higher incidence of VT/VF (67%) than unattended patients (45%). Bystander CPR was furthermore associated with an increased incidence of VT/VF in patients with prolonged ambulance delay. VT/VF was present at the time when the ambulance arrived in 86% of the CA patients who had received CPR from a bystander and were reached within 8 min by the ambulance.