Macdonald J W, Brewster M F, Isles C G
Medical Unit, Dumfries and Galloway Royal Infirmary.
Scott Med J. 1993 Jun;38(3):79-80. doi: 10.1177/003693309303800307.
The objective was to review the outcome of resuscitation attempts in a small remote two-partner practice of 2700 patients in Galloway, South West Scotland during the period 1985-1992. During the study period 15 attempts were made to resuscitate the victims of cardiac arrest. Two sub-groups were identified. In the first, nine out of ten patients whose arrest occurred in the presence of a doctor were successfully resuscitated and all proved to be long term survivors. In the second group of five patients whose arrest took place before the arrival of the doctor there were no survivors. We conclude that defibrillation by general practitioners has a valuable contribution to make in reducing the mortality from myocardial infarction in rural practice.
目的是回顾1985年至1992年期间在苏格兰西南部加洛韦一个拥有2700名患者的小型偏远双人执业诊所中进行复苏尝试的结果。在研究期间，共进行了15次对心脏骤停患者的复苏尝试。确定了两个亚组。在第一组中，十名在医生在场时发生心脏骤停的患者中有九名成功复苏，且均被证明是长期存活者。在第二组五名在医生到达之前发生心脏骤停的患者中，无存活者。我们得出结论，全科医生进行除颤对降低农村地区心肌梗死死亡率有重要作用。
