ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (8): 971-974.doi: 10.3761/j.issn.2096-7446.2025.08.013

• 质量与安全 • 上一篇    下一篇

院外心搏骤停患者急诊体外心肺复苏救治流程的优化实践

达志(), 黄夕华(), 陈旭锋, 季学丽, 张丽, 曹恒畅, 金伦, 李想, 蔡浩   

  1. 210029 南京市 南京医科大学第一附属医院急诊室
  • 收稿日期:2024-11-12 出版日期:2025-08-10 发布日期:2025-08-12
  • 通讯作者: 黄夕华,E-mail:huangxihualy@163.com
  • 作者简介:达志:女,本科,主管护师,E-mail:824945474@qq.com
  • 基金资助:
    江苏省人民医院2022年度临床能力提升工程护理项目(JSPH-NB-2022-3)

The practice of optimizing the process for emergency extracorporeal cardiopulmonary resuscitation in treating out-of-hospital cardiac arrest patients

DA Zhi(), HUANG Xihua(), CHEN Xufeng, JI Xueli, ZHANG Li, CAO Hengchang, JIN Lun, LI Xiang, CAI Hao   

  • Received:2024-11-12 Online:2025-08-10 Published:2025-08-12

摘要:

目的 开展院外心搏骤停患者急诊体外心肺复苏救治流程的优化实践。方法 在南京市某三级甲等医院急诊科组建多学科小组,分析救治过程中存在的难点和痛点,从院前体外心肺复苏快速反应团队、多学科协作、物品设备管理、院前院内信息共享平台、制度及流程标准、多元化培训方案多方面优化举措,并进行质量控制。结果 12例患者救治成功率为33.3%,较文献报告的急诊体外心肺复苏救治院外心搏骤停患者的成功率22.5%明显提高。时效指标结果显示:院前体外心肺复苏快速反应团队响应时间由25 min缩短至5 min,物品准备时间由15 min缩短至6 min,体外膜肺氧合管路预充时间由18 min降至最快8 min,体外膜肺氧合置管时间由30~50 min降至10~15 min。结论 优化院外心搏骤停患者急诊体外心肺复苏救治流程有助于提高患者救治成功率和抢救时效性。

关键词: 急诊, 体外心肺复苏, 院外心搏骤停, 流程

Abstract:

Objective To conduct the optimization practice of process for emergency extracorporeal cardiopulmonary resuscitation in treating out-of-hospital cardiac arrest patients. Methods A multidisciplinary team was established in the emergency department of a third-class A hospital in Nanjing to analyze the difficulties and critical points in the rescue process. Optimization measures were taken from multiple aspects such as the pre-hospital extracorporeal cardiopulmonary resuscitation rapid response team,multidisciplinary collaboration,equipment and management,pre-hospital and in-hospital information sharing platform,system and process standards,and diversified training programs. Quality control was carried out in the emergency department. Results The success rate of treatment for 12 patients was 33.3%,significantly higher than the 22.5% success rate reported in the literature for emergency extracorporeal cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest. The time-sensitive indicators showed that the response time of the rapid response team for extracorporeal cardiopulmonary resuscitation was shortened from 25 minutes to 5 minutes,the preparation time for items was shortened from 15 minutes to 6 minutes,the pre-flush time for extracorporeal membrane oxygenation was shortened from 18 minutes to the fastest 8 minutes,and the time for extracorporeal membrane oxygenation was shortened from 30 to 50 minutes to 10 to 15 minutes. Conclusion Optimizing the process for emergency extracorporeal cardiopulmonary resuscitation in treating out-of-hospital cardiac arrest patients can help improve the success rate of patient treatment and the timeliness of rescue.

Key words: Emergency, Extracorporeal Cardiopulmonary Resuscitation, Out-of-hospital Cardiac Arrest, Process