小児心肺停止症例の検討

Material type: 記事

Author: 柳井真知ほか

Publisher: Japanese Association for Acute Medicine

Publication date: 2005

Material Format: Digital

Journal name: 日救急医会誌 16 9

Publication Page: p.545-551

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Summary, etc.：: 目的:小児心肺停止の特徴を調べ,発生予防と治療成績向上に寄与する因子を検討する。方法:1999年から2003年の5年間に神戸市立中央市民病院救命救急センターで取り扱った15歳以下院外心肺停止例の年齢,性別,心肺停止の原因,基礎疾患の有無,bystander cardiopulmonary resus...

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Material Type: 記事
Title: 小児心肺停止症例の検討
Author Heading: 柳井真知
有吉孝一
佐藤愼一
Publication Date: 2005
Publication Date (W3CDTF): 2005
Periodical title: 日救急医会誌
No. or year of volume/issue: 16 9
Volume: 16
Issue: 9
Pages: 545-551
Publication date of volume/issue (W3CDTF): 2005
ISSN (Periodical Title): 0915924X
Publication (Periodical Title): Japanese Association for Acute Medicine
Text Language Code: ja
Subject Heading: pediatric CPA
doctor car
bystander CPR
小児心肺停止
ドクターカー
バイスタンダーCPR
Target Audience: 一般
DOI: 10.3893/jjaam.16.545
https://doi.org/10.3893/jjaam.16.545
Related Material (URI): https://search.jamas.or.jp/link/ui/2006041702
Data Provider (Database): 国立情報学研究所 : CiNii Research
https://cir.nii.ac.jp/
Original Data Provider (Database): Japan Link Center
https://japanlinkcenter.org/top
Crossref
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CiNii Articles
NAID: 10016879736

Digital

Summary, etc.: We performed a retrospective study of 36 pediatric cardiopulmonary arrests (<15 years old) at Emergency Medical Center, Kobe City General Hospital between 1999 and 2003. There were 52, 635 pediatric patients who came to Emergency Medical Center between 1999 and 2003. Twenty-eight percent of pediatric CPA cases were <1 year of age, 61% were male. Return of spontaneous circulation (ROSC) was achieved in 5 cases (14%). The most prevalent etiology was asphyxia (19%), followed by pneumonia (11%) and SIDS (8%). Twelve children (33%) had received bystander CPR. Eight children (22%) had received CPR from doctors at the scene and were transferred to the hospital by the doctor cars. Patients who had received bystander CPR had higher ROSC rates (33%) than patients who had not received bystander CPR (4%, p=0.03). Patients who were treated by doctors at the scene and transferred by the doctor cars had higher ROSC rates (38%) than those who were not transferred by the doctor cars (7%, p=0.005). Bystander CPR and doctor car transportation may improve the survival rate for pediatric out-of-hospital cardiac arrest.
目的:小児心肺停止の特徴を調べ,発生予防と治療成績向上に寄与する因子を検討する。方法:1999年から2003年の5年間に神戸市立中央市民病院救命救急センターで取り扱った15歳以下院外心肺停止例の年齢,性別,心肺停止の原因,基礎疾患の有無,bystander cardiopulmonary resuscitation (CPR)の有無,ドクターカー出動処置の有無,心拍再開率をカルテレビューから検討した。結果:52,635人の小児救急患者のうち院外心肺停止は36例(0.07%)であった。年齢では0歳が28%で最多,性別では男児が61%を占めた。原因は窒息が7例(19%),次いで肺炎,sudden infant death syndrome (SIDS)であった。21例(68%)で剖検を行った。bystander CPRは12例(33%)で施行,ドクターカーは8例(22%)で出動した。心拍再開は5例(14%)で認めた。心拍再開率はbystander CPR施行例では33%,非施行例では4%で有意差を認めた(p=0.03)。ドクターカー出動例での心拍再開率は38%,非出動例では7%でドクターカー出動例で有意に高かった(p=0.005)。結論:小児心肺停止の心拍再開にはbystander CPR,ドクターカー出動による速やかな救命処置が寄与している。
DOI: 10.3893/jjaam.16.545
Access Restrictions: インターネット公開
Data Provider (Database): 科学技術振興機構 : J-STAGE
http://www.jstage.jst.go.jp

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