METHODS: This was a retrospective forensic autopsy cohort study conducted in a single institution after resuscitation. Pathologists recorded autopsy data using standardized protocol contained information from external and internal examination of the body.
RESULTS: Thirty-eight autopsy reports (21 males and 17 females), post- CPR-failure were studied. Heart lesions were reported in 19 patients (group A). The average age was 65.7 years (69.05 group A and 66.5 group B). Median weight was 75.2 Kg and was significantly higher in group B (p = 0.01). Pericardial lesions were identified in 6 patients in group A and 2 in group B (p = 0.2 ns). No significant difference was observed among the two groups (Table 4) with the exception of the average number of rib fractures which was higher in group A (p = 0.04). Autopsy findings revealed heart injuries in 50% of patients with a high prevalence (52.6%) of left ventricle injuries.
CONCLUSIONS: Cardiac lesions represent frequent and serious complications of unsuccessful CPR. Correct performance of chest compressions according to guidelines is the best way to avoid these complications.
方法:这是一项回顾性的法医尸检队列研究,在单个机构复苏后进行。病理学家使用标准化协议记录尸检数据,其中包含来自身体外部和内部检查的信息。
结果:38份尸检报告(男21例,女17例),研究了心肺复苏后失败。在19例患者中报告了心脏病变(A组)。平均年龄为65.7岁(A组69.05岁,B组66.5岁)。平均体重为75.2Kg,B组明显更高(p=0.01)。在A组中有6例患者和B组中有2例患者发现了心包病变(p=0.2ns)。两组之间没有观察到显著差异(表4),除了肋骨骨折的平均数在A组中较高(p=0.04)。尸检结果显示,50%的左心室损伤患病率高(52.6%)的患者心脏损伤。
结论:心脏损害代表CPR不成功的频繁和严重的并发症。根据指南正确进行胸部按压是避免这些并发症的最佳方法。