Baidu
map

心血管

订阅

MedSci主页 / 所有栏目 / 心血管

AHA 2013：心肺复苏时间与心搏骤停患者功能转归独立相关

2013-11-27 高晓方 译 医学论坛网

心肺复苏时间心搏骤停功能转归独立相关
关注

于AHA 2013科学年会公布的美国一项研究表明，随心肺复苏持续时间延长，患者以良好功能转归存活出院的可能性迅速降低；新型复苏策略应在心搏骤停早期尝试，而非在传统手段完全失败后再实施。论文11月17日在线发表于《循环》（Circulation）。【原文出处】 此项回顾性队列研究共纳入1014例非创伤性院外心搏骤停成人患者。以专业医务人员实施心肺复苏或除颤定义院外心搏骤停。利用改良Ran

于AHA 2013科学年会公布的美国一项研究表明，随心肺复苏持续时间延长，患者以良好功能转归存活出院的可能性迅速降低；新型复苏策略应在心搏骤停早期尝试，而非在传统手段完全失败后再实施。论文11月17日在线发表于《循环》（Circulation）。【原文出处】

此项回顾性队列研究共纳入1014例非创伤性院外心搏骤停成人患者。以专业医务人员实施心肺复苏或除颤定义院外心搏骤停。利用改良Rankin量表评分对出院功能转归加以分层。对生存和功能恢复的动态概率加以评估。

结果显示，患者出院存活率为11%，但仅6%的改良Rankin量表评分为0～3。心肺复苏时间在16.1分钟以内，功能转归良好的患者有89.7%实现自主循环恢复，但良好功能恢复的可能性降至1%。对院前和院内变量协变量进行校正之后，心肺复苏持续时间（分钟）与出院时良好功能状况具有独立相关性（比值比 0.84；P=0.02）。


版权声明：
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料，版权均属于梅斯医学所有。非经授权，任何媒体、网站或个人不得转载，授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章，或“梅斯号”自媒体发布的文章，仅系出于传递更多信息之目的，本站仅负责审核内容合规，其内容不代表本站立场，本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系，我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1684379, encodeId=6e8916843e9bd, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Mon Jul 28 20:29:00 CST 2014, time=2014-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267197, encodeId=a47f126e19757, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305342, encodeId=cb1a1305342a4, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486991, encodeId=da7814869913a, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=)]
    2014-07-28 aids222

    #心肺#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1684379, encodeId=6e8916843e9bd, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Mon Jul 28 20:29:00 CST 2014, time=2014-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267197, encodeId=a47f126e19757, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305342, encodeId=cb1a1305342a4, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486991, encodeId=da7814869913a, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=)]
    2013-11-29 zhaohui6731

    #AHA#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1684379, encodeId=6e8916843e9bd, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Mon Jul 28 20:29:00 CST 2014, time=2014-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267197, encodeId=a47f126e19757, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305342, encodeId=cb1a1305342a4, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486991, encodeId=da7814869913a, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=)]
    2013-11-29 lizhou0204

    #复苏#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1684379, encodeId=6e8916843e9bd, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Mon Jul 28 20:29:00 CST 2014, time=2014-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267197, encodeId=a47f126e19757, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305342, encodeId=cb1a1305342a4, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486991, encodeId=da7814869913a, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Nov 29 01:29:00 CST 2013, time=2013-11-29, status=1, ipAttribution=)]
    2013-11-29 shenxlcyp

    #心搏骤停#

    0

Baidu
map
Baidu
map
Baidu
map