Sefrin P, Heinrich H
Institut für Anaesthesiologie, Universität Würzburg.
Dtsch Med Wochenschr. 1991 Oct 4;116(40):1497-504. doi: 10.1055/s-2008-1063779.
In a prospective study 166 consecutive cases of prehospital resuscitation by emergency doctors were analysed to ascertain those factors which affect the ultimate outcome. Cardiac causes were most frequent (69%): primary ventricular fibrillation was the most common ECG diagnosis (47%). Average time from definite cardiorespiratory arrest until onset of resuscitation procedures by an emergency doctor was 8.2 minutes, to first measures by other resuscitation personnel it was 6.6 minutes. In all cases in which resuscitation procedures were undertaken (in 33 within 10 minutes) this was done by medical personnel who were nearby by chance. 47 patients (28.3%) could be resuscitated and taken to hospital; 16 of them (9.6%) were discharged after "finally successful resuscitation", 13 without any neurological deficit. Favourable factors were: primary ventricular fibrillation and start of resuscitation manoeuvres within 10 minutes. These results highlight the need for training first-aid personnel so that the number of successful resuscitations can be increased.
在一项前瞻性研究中，对急诊医生连续进行的166例院前复苏病例进行了分析，以确定那些影响最终结果的因素。心脏病因最为常见（69%）：原发性心室颤动是最常见的心电图诊断（47%）。从明确的心搏呼吸骤停到急诊医生开始复苏程序的平均时间为8.2分钟，到其他复苏人员采取首次措施的平均时间为6.6分钟。在所有进行复苏程序的病例中（10分钟内有33例），均由偶然在附近的医务人员进行。47例患者（28.3%）得以复苏并被送往医院；其中16例（9.6%）在“最终成功复苏”后出院，13例无任何神经功能缺损。有利因素为：原发性心室颤动以及在10分钟内开始复苏操作。这些结果凸显了培训急救人员的必要性，以便增加成功复苏的数量。
