被发现深度昏迷、未曾经历心脏骤停的患者总是呼吸正常吗？
Are patients who are found deeply unconscious, without having suffered a cardiac arrest, always breathing normally?
作者信息
Bång Angela, Gustavsson Mikael, Larsson Carina, Holmberg Stig, Herlitz Johan
机构信息
University College of Borås, School of Health Sciences, SE-501 90 Borås, Sweden.
出版信息
Resuscitation. 2008 Aug;78(2):116-8. doi: 10.1016/j.resuscitation.2008.02.027. Epub 2008 May 16.
AIM
To evaluate how often an ambulance crew reports abnormal breathing among patients who are found deeply unconscious but without having suffered a cardiac arrest.
METHODS
Patients with Glasgow Coma Scale (GCS) 3 (1+1+1) and without cardiac arrest were retrospectively evaluated, via ambulance records, for signs of abnormal breathing.
RESULTS
Of 45 patients who fulfilled inclusion criteria, 24 (53%) had signs of abnormal breathing, as reported by the ambulance crew.
CONCLUSION
Signs of abnormal breathing among comatose patients with no cardiac arrest appear to be relatively common. This therefore increases the risk of starting cardiopulmonary resuscitation (CPR) in such patients, which is in accordance with the present CPR guidelines for the lay person. Whether this might do harm to such patients is not known.
目的
评估在被发现深度昏迷但未发生心脏骤停的患者中，急救人员报告呼吸异常的频率。
方法
通过救护车记录，对格拉斯哥昏迷量表（GCS）评分为3分（1+1+1）且未发生心脏骤停的患者进行回顾性评估，以寻找呼吸异常的迹象。
结果
在符合纳入标准的45例患者中，据急救人员报告，有24例（53%）存在呼吸异常迹象。
结论
在无心脏骤停的昏迷患者中，呼吸异常迹象似乎相对常见。因此，这增加了对此类患者实施心肺复苏（CPR）的风险，这与当前针对非专业人员的CPR指南相符。但这是否会对这类患者造成伤害尚不清楚。
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