




已阅读5页,还剩14页未读, 继续免费阅读
版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
术中心跳骤停相关性因素分析,JapanSocietyofAnesthesiologists(JSA) Certified Training Hospitals (CTH),A total number of 793,840 anesthetics Total incidence of cardiac arrest under anesthesia/surgery was 6.53 per 10,000 anesthetics,principal causes of total cardiac arrest cases,PC 42.9%,IP 22.0% SG 21.4% AM 12.0% (AM:incidence rate of 0.78 per 10,000),(PC) preoperative complications(IP) intraoperative pathological events(SG) surgery(AM) anesthetic management,In 52 more detailed classification of principal causes of cardiac arrest,the most frequent cause preoperative hemorrhagic shock,20.3% of all cardiac arrests. The second cause massive hemorrhage and/or hypovolemia due to surgical procedures (13.1%), the third cause intraoperative myocardial infarction/coronary ischemia/coronary spasm (9.5%),Prognoses of cardiac arrest,declined due to PC: 71.1% of cardiac arrests died in theoperatingroomor within 7 days after surgery and only 19.8% survived without sequelae. The best prognoses due to AM: 69.4% survived without sequelae and 12.9% died.,themortalityrate post-cardiac arrest,3.44 per 10,000 anesthetics, of those 0.10 due to AM, 0.57 due to IP, 0.76 due to SG, 1.99 due to PC.,US teaching hospital,13 years from the University of Pittsburgh Medical Center (UPMC) between January 1, 1989 to December 31, 2001 218 274 anesthesia cases, including 203 382 general anesthesia cases, 12 282 spinal anesthesia cases 2610 epidural anesthesia cases,intraoperative cardiac arrest from all causes was 1.05 per 10 000 anestheticsdue to anesthesia of 0.45 per 100 000 (60.8%) died in the operating room,Characteristics of intraoperative cardiac arrest,a remarkable percentage of patients (86.9%) who had intraoperative cardiac arrest were classified as ASA PS IV or V. Survival was significantly improved in patients with ASA PS IIII (66.7%) compared with those with ASA PS IVV (35%). the survival rate was lower in patients older than 65 years (20%) compared to patients younger than 64 years old (53.5%). Asystole was the most common (52%) on initial EKG rhythm, and those patients seemed less likely to survive after resuscitation compared to other rhythms such as PEA and VF;,Characteristics of intraoperative cardiac arrest,There was no difference between males and females in the survival rate there were no significant differences in patients survival rates with trauma (50%) or emergency surgery (42%) compared with non-trauma (36%) or elective surgery (36%),寻找6H/5T,对寻找可能导致心搏骤停的原因很有帮助,6H,低血容量hypovolemia低氧血症 hypoxia氢离子(酸中毒)hydrogen ion (acidosis)低高钾血症 hypo-/hyperkalemia低血糖 hypoglycem
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 电池加酸考试题目及答案
- 中国含氟聚合物薄膜项目创业计划书
- 德育副校长考试题及答案
- 2025年土地占用申请报告-土地占用申请
- 中国功能水制造行业调研及发展趋势分析报告
- 中国铁塔青岛市分公司招聘考试真题2024
- 中国磷肥制造项目创业计划书
- 大学读书考试题目及答案
- 大二刑法考试题及答案
- 非协议书就业登记表
- CNAS体系基础知识培训课件
- 部编人教版六年级道德与法治上册全册教学课件
- 化工厂员工电气安全教育培训课件
- 特种设备制造内审及管理评审资料汇编经典版
- 河蟹健康养殖与常见疾病防治技术课件
- 小学二年级《爱国主义教育》主题班会课件
- 2023届浦东新区高三英语一模试卷及答案
- 儿童牙外伤讲稿
- GB∕T 41491-2022 配网用复合材料杆塔
- 2022年《临床助理医师》考试题库及答案(含各题型)
- 民事案件代理风险告知书
评论
0/150
提交评论