摘要
目的:探讨心肺复苏循环恢复患者早期评估预后的相关因素。方法:对56例心肺复苏循环恢复患者进行病例回顾分析,分别记录患者年龄、性别以及心肺复苏循环恢复1小时内的瞳孔直径、格拉斯高昏迷评分、血WBC计数、血清肌酐Cr、血清丙氨酸氨基转移酶ALT、肌酸磷酸激酶、D-二聚体定性、血钙、血钾、血清淀粉酶、复苏后1小时内是否使用亚低温治疗、pH值、动脉血氧分压PaO2、动脉血二氧化碳分压PaCO2、血葡萄糖、复苏时间等,采用多因素logistic回归模型分析心肺复苏循环恢复患者的预后因素。结果:回顾56例心肺复苏循环恢复患者病例,logistic回归分析发现血清淀粉酶、血糖和复苏时间对早期评估心肺复苏循环恢复患者的预后有意义。结论:复苏后1小时内血清淀粉酶、血糖和复苏时间对早期评估心肺复苏循环恢复患者的预后有价值。
Objective： To identify the death risk factors in patients with return of spontaneous circulation （ROSC）. Methods：We retrospectively analyzed the clinical material of 56 patients with ROSC, and analyzed 16 varia bles, including age, sex, diameter of pupil, Glasgow coma scale, WBC, Cr, ALT, CPK, I）-dimer, Ca2 ＋ , K ＋ , AMY, mild hypothermia treatment, pH value, PaO2, PaCO2 ,Glucose and Time of ROSC, evaluated the relationship between the prognostic factors and deaths with Logistic Regression Analysis. Results：In the logistic regression analysis, AMY, Glucose and Time of ROSC were determined as independent prognostic factors of patients with ROSC. The rest 13 prognostic factors of patients with ROSC were identified. Conclusion： AMY, Glucose and Time of ROSC are the prognostic factors of patients with ROSC.
出处
《华西医学》
CAS
2009年第9期2275-2277,共3页
West China Medical Journal
