Urban P, Cereda J M, Righetti A
Schweiz Med Wochenschr. 1985 Feb 9;115(6):206-9.
A prospective study on the treatment of out-of-hospital cardiac arrest by a mobile intensive care unit was conducted in Geneva for 1 year. 76 attempts at cardiopulmonary resuscitation (CPR) were made: 25 patients were admitted to the intensive care unit (33%) and 13 lived to be discharged from hospital (17%). Age, initial arrhythmia and duration of cardiopulmonary arrest (CPA) were important factors in determining the initial success of CPR. Long-term survival was associated with CPA of less than 4 minutes duration, with bystander-initiated CPR and with CPR lasting less than 30 minutes. Better education of the public and more direct access to the system should make it possible to treat more patients in more favourable conditions and improve overall results. A more determined effort to educate the public in CPR would also improve the prognosis in out-of-hospital cardiac arrest.
在日内瓦进行了一项为期1年的关于移动重症监护单元治疗院外心脏骤停的前瞻性研究。共进行了76次心肺复苏尝试：25名患者被收入重症监护病房（33%），13名存活至出院（17%）。年龄、初始心律失常和心肺骤停持续时间是决定心肺复苏初始成功的重要因素。长期存活与持续时间少于4分钟的心肺骤停、旁观者发起的心肺复苏以及持续时间少于30分钟的心肺复苏相关。对公众进行更好的教育以及更直接地接入该系统应能使更多患者在更有利的条件下得到治疗并改善总体结果。更加坚定地努力对公众进行心肺复苏教育也将改善院外心脏骤停的预后。
