资源描述：
《麻醉期间心跳骤停常见原因分析.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、术中心跳骤停相关性因素分析Japan Society of Anesthesiologists (JSA)CertifiedTrainingHospitals(CTH)Atotalnumberof793,840anestheticsTotalincidenceofcardiacarrestunderanesthesia/surgerywas6.53per10,000anestheticsprincipalcauses oftotalcardiacarrestcasesPC42.9%,IP22.0%SG21.4%AM12.0%(AM:incidencerat
2、eof0.78per10,000)(PC)preoperativecomplications(IP)intraoperativepathologicalevents(SG)surgery(AM)anestheticmanagementIn52moredetailedclassification ofprincipalcausesofcardiacarrestthemostfrequentcausepreoperativehemorrhagicshock,20.3%ofallcardiacarrests.Thesecondcausemassivehemorr
3、hageand/orhypovolemiaduetosurgicalprocedures(13.1%),thethirdcauseintraoperativemyocardialinfarction/coronaryischemia/coronaryspasm(9.5%)PrognosesofcardiacarrestdeclinedduetoPC:71.1%ofcardiacarrestsdiedinthe operating room orwithin7daysaftersurgeryandonly19.8%survivedwithoutsequela
4、e.ThebestprognosesduetoAM:69.4%survivedwithoutsequelaeand12.9%died.the mortality rate post-cardiacarrest3.44per10,000anesthetics,ofthose0.10duetoAM,0.57duetoIP,0.76duetoSG,1.99duetoPC.USteachinghospital13yearsfromtheUniversityofPittsburghMedicalCenter(UPMC)betweenJanuary1,1989toDe
5、cember31,2001218274anesthesiacases,including203382generalanesthesiacases,12282spinalanesthesiacases2610epiduralanesthesiacasesintraoperativecardiacarrestfromallcauseswas1.05per10000anestheticsduetoanesthesiaof0.45per100000(60.8%)diedintheoperatingroomCharacteristics ofintraoperati
6、vecardiacarrestaremarkablepercentageofpatients(86.9%)whohadintraoperativecardiacarrestwereclassifiedasASAPSIVorV.SurvivalwassignificantlyimprovedinpatientswithASAPSI–III(66.7%)comparedwiththosewithASAPSIV–V(35%).thesurvivalratewaslowerinpatientsolderthan65years(20%)comparedtopatie
7、ntsyoungerthan64yearsold(53.5%).Asystolewasthemostcommon(52%)oninitialEKGrhythm,andthosepatientsseemedlesslikelytosurviveafterresuscitationcomparedtootherrhythmssuchasPEAandVF;Characteristics ofintraoperativecardiacarrestTherewasnodifferencebetweenmalesandfemalesinthesurvivalratet
8、herewerenosignificantdifferencesi
