Abstract：
BACKGROUND: Current studies focus primarily on skeletal injuries following cardiopulmonary resuscitation (CPR). Few studies report on intrathoracic injuries (ITI) and none, to our knowledge, focus exclusively on cardiovascular injuries related to cardiac massage. This study was based on autopsy findings and assessed the incidence of non-skeletal CPR related injuries related to chest compression.
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.
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.
摘要：
背景：目前的研究主要集中在心肺复苏（CPR）后的骨骼损伤。很少有关于胸内损伤（ITI）的研究报告，也没有，根据我们的知识，专注于与心脏按摩相关的心血管损伤。这项研究基于尸检结果，并评估了与胸部按压相关的非骨骼CPR相关损伤的发生率。
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。
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。
