中国医学科学院学报2018，Vol.40Issue(2)：250-255,6.DOI:10.3881/j.issn.1000-503X.2018.02.016
127053例手术室内非心脏手术16例心肺复苏术的回顾性分析
Retrospective Analysis of 16 Cases Receiving Cardiopulmonary Resuscitation in the Operating Room among 127 053 Anesthetics Undergoing Non-cardiac Surgeries
兰岭 1申乐 1张秀华 1黄宇光1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院麻醉科,北京100730
- 折叠
摘要
Abstract
Objective To identify the high-risk factors of cardiac arrest during non-cardiac surgery and to provide experience for the effective cardiopulmonary resuscitation (CPR).Method The baseline data,co-morbidities,causes of cardiac arrest,treatment responsees,and survivals of 16 patients undergoing CPR among 127 053 patients receiving non-cardiac surgeries in our center from January 2013 to December 2016 were retrospectively analyzed.Results The main causes of intraoperative CPR included the co-existing cardiovascular diseases,massive intraoperative blood loss/high-risk surgical procedures,and allergy-related factors.Nine patients survived after immediate CPR in the operating room,with a 30-day survival rate of 77.8％.Conclusions Intraoperative cardiac arrest is a rare but potentially catastrophic event during non-cardiac surgeries.The success rate of CPR decreases in elderly patients undergoing high-risk emergency surgeries,especially when massive blood loss occurs during the surgery.关键词
心搏骤停/麻醉/心肺复苏术Key words
cardiac arrest/anesthesia/cardiopulmonary resuscitation分类
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兰岭,申乐,张秀华,黄宇光..127053例手术室内非心脏手术16例心肺复苏术的回顾性分析[J].中国医学科学院学报,2018,40(2):250-255,6.
