Therapeutic effect analysis of prehospital first aid in patients with cardiopulmonary arrest caused by e-lectrical shock
10.3969/j.issn.1008-0074.2015.04.27
- VernacularTitle:电击致心跳呼吸骤停患者院前急救的疗效分析
- Author:
Yunbo GUO
- Publication Type:Journal Article
- Keywords:
Electric injuries;
Heart arrest;
Emergency medical services;
Cardiopulmonary resuscitation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2015;24(4):442-444
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical significance of prehospital first aid in treatment of patients with cardiopul-monary arrest caused by electrical shock.Methods:A total of 85 patients with cardiopulmonary arrest caused by e-lectrical shock,who hospitalized in our community health service center from Jul 2002 to Feb 2014,were selected. Influence of different factors of prehospital first aid on success rate of recovery and survival rate were explored.Re-sults:After prehospital first aid,heart beat and respiration recovered in 21 cases (24.7%)and 13 patients (15.3%) survived and discharged in 85 subjects.Success rate of recovery and survival rate on discharge in patients with age ≥60 years and high voltage wound were lower,but without significant difference compared with those of <60 years and low voltage wound (P >0.05);for the time from electric shock to cardiopulmonary resuscitation,success rate of recovery and survival rate on discharge were the highest in <5min patients;compared with first aid time<5min, there were significant reductions in success rate of recovery (58.33% vs.31.58% vs.8.00% vs.0%)and survival rate after discharge (58.33% vs.15.79% vs.0% vs.0%)in 5~11min,11~16min,>16min,P <0.05 or <0.01. Conclusion:Early prehospital first aids,such as cardiopulmonary resuscitation etc,can significantly improve progno-sis in patients with cardiopulmonary arrest caused by electrical shock.
