...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Resuscitation. >Resuscitation by primary care doctors.
【24h】

Resuscitation by primary care doctors.

机译：由初级保健医生进行复苏。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Sudden cardiac arrest is a common mechanism of premature death in the community. Resuscitation is often possible, but no large study of resuscitation by doctors who practice there has been published. METHODS: General practitioners (GPs) equipped with defibrillators reported 555 patients with cardiac arrest in whom they attempted resuscitation. FINDINGS: Average age was 65.4, 75% male. Most arrests (49%) occurred at the patient's home but some (18%) occurred at or near the doctors' surgeries. Heart disease was responsible for 88% of the arrests: in these cases resuscitation to leave hospital alive was frequently successful (148 of 436 attempts, 34%). Success was rare (one of 59, <2%) when the arrest was due to non-cardiac disease. Resuscitation was most common when the first monitored rhythm was shockable (VF/VT) and defibrillated promptly: 144 out of 351 (41%) patients surviving. VF/VT was most common with early rhythm monitoring, particularly when the doctor was present (63% survival), or nearby (54%). When VF/VT complicated AMI, 72% of those defibrillated within 1min of onset survived. With delayed attendance, the frequency of VF/VT fell and asystole or Pulseless Electrical Activity (PEA) became more common. Survival after resuscitation was rare for patients presenting with these rhythms: five of 202 (2.5%). No such patient survived unless the rhythm could be converted to VF/VT with drugs or basic life support and subsequently shocked. CONCLUSION: Primary care doctors equipped with defibrillators attend patients with cardiac arrest under circumstances in which resuscitation is frequently successful. This presents a unique opportunity to reduce mortality from sudden cardiac arrest.
机译：背景：心脏骤停是社区过早死亡的常见机制。通常可以进行复苏，但尚未发表有关在那里进行复苏的医生的大型研究报告。方法：配备除纤颤器的全科医生（GP）报告了555例心脏骤停患者试图进行复苏。结果：平均年龄为65.4岁，男性为75％。大多数逮捕（49％）发生在患者家中，但有些（18％）发生在医生的手术中或附近。心脏病引起了88％的逮捕：在这些情况下，复苏活着往往很成功（436次尝试中的148次，占34％）。当逮捕归因于非心脏疾病时，成功是罕见的（59分之一，<2％）。当第一个监测到的节律可电击（VF / VT）并迅速除颤时，复苏是最常见的：351名患者中有144名（41％）存活。 VF / VT最常见于早期心律监测，尤其是当医生在场（63％生存）或附近（54％）时。当VF / VT并发AMI时，在发作1分钟内除颤的患者中有72％存活。由于出勤延迟，VF / VT的频率下降，心搏停止或无脉冲电活动（PEA）变得更加普遍。出现这些节律的患者复苏后存活率很低：202名患者中有5名（2.5％）。除非可以通过药物或基本生命支持将心律转变为VF / VT，然后震惊，否则此类患者均无法幸免。结论：配备心脏除颤器的基层医疗医生在经常成功进行复苏的情况下为心脏骤停患者提供治疗。这提供了减少突然心脏骤停死亡率的独特机会。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号