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[各种治疗模式对院外心脏骤停后生存率的影响]

[Influence of various therapeutic models on survival after prehospital cardiac arrest].

作者信息

Fonsmark L, Leikersfeldt G, Møller J, Reich H, Sandøe E, Videbaek J, Lyngborg K

出版信息

Ugeskr Laeger. 1993 Jun 21;155(25):1953-8.

PMID:8317060
Abstract

We analyzed the outcome after prehospital cardiac arrest in a part of greater Copenhagen. Four different emergency medical systems were acting: a system providing basic life support only (group 1), a system providing basic life support and early defibrillation (group 2), a system providing basic life support followed by advanced cardiac life support (group 3), and a system providing basic life support and early defibrillation followed by advanced cardiac life support (group 4). Over a 2-year period 624 cases of cardiac arrest were reported, 34 were discharged from hospital. The survival to discharge from hospital and the one-year survival were significantly better in group 4. Our data reconfirm that early advanced cardiac life support improves survival rates for prehospital cardiac arrest.

摘要

我们分析了哥本哈根大区部分地区院外心脏骤停后的结果。有四种不同的急救医疗系统在运行:一个仅提供基本生命支持的系统(第1组),一个提供基本生命支持和早期除颤的系统(第2组),一个提供基本生命支持后再进行高级心脏生命支持的系统(第3组),以及一个提供基本生命支持和早期除颤后再进行高级心脏生命支持的系统(第4组)。在两年时间里,共报告了624例心脏骤停病例,34例出院。第4组的出院生存率和一年生存率明显更高。我们的数据再次证实,早期高级心脏生命支持可提高院外心脏骤停的生存率。

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