Clinical value of emergency bedside echocardiography in diagnosis and treatment of sudden cardiac arrest

HE Anxia; LU Meijuan; TAO Weiwei; CHEN Chao; ZHU Lei

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Clinical value of emergency bedside echocardiography in diagnosis and treatment of sudden cardiac arrest

更新时间：2026-06-18

- Clinical value of emergency bedside echocardiography in diagnosis and treatment of sudden cardiac arrest
- Vol. 25, Issue 4, Pages: 327-330(2016)
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- Online First：11 January 2017，
  
  Published：2016
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何安霞,陆美娟,陶炜伟,等. 急诊床旁超声心动图在心脏骤停诊治中的临床价值[J]. 肿瘤影像学, 2016, 25(4): 327-330
DOI：

何安霞,陆美娟,陶炜伟,等. 急诊床旁超声心动图在心脏骤停诊治中的临床价值[J]. 肿瘤影像学, 2016, 25(4): 327-330 DOI：

摘要

目的：

探讨急诊床旁超声心动图检查在心脏骤停病因诊断及心肺复苏实施过程中的临床应用价值。

方法：

回顾性分析16例行急诊床旁超声心动图检查的心脏骤停和心肺复苏患者的临床资料，以及超声心动图检查所获取的心脏结构、收缩功能及心腔内血流状态。

结果：

16例患者中，急诊床旁超声心动图发现心脏结构功能异常15例，未见明显异常1例；超声心动图提示心脏疾病为心脏骤停病因12例，非心脏骤停病因1例，不确定是否为心脏骤停病因2例。超声心动图于心肺复苏过程中检查4例，心肺复苏后检查12例，检查2次者4例。首次心肺复苏成功率为75% (12/16)，最终存活率为50%(8/16)。

结论：

心脏骤停后诊治过程中行急诊床旁超声心动图检查可及时明确心脏结构功能，提示心脏原发疾病及其是否与心脏骤停相关，指导心肺复苏实施，评估患者预后，有重要临床价值。

Abstract

Objective:

To investigate the clinical value of emergency bedside echocardiography in the etiological diagnosis of sudden cardiac arrest (SCA) and during the implementation of cardiopulmonary resuscitation (CPR).

Methods:

A retrospective analysis of 16 SCA patients given CPR was performed. All patients underwent emergency bedside echocardiography. The clinical data and the statistics of cardiac structure

systolic function as well as intracardiac flow dynamic status acquired by echocardiography were recorded.

Results:

Of 16 patients

15 cases were detected with abnormalities of cardiac structure and functions by emergency bedside echocardiography

only one case showed no significant

abnormality. The cardiac diseases detected by echocardiography were the cause of cardiac arrest in 12 cases

not the cause of cardiac arrest in 1 case

not sure if the cause of cardiac arrest in 2 cases. Echocardiography was performed in 4 cases during CPR and 12 afterwards. Four cases were performed echocardiography equal to or more than twice. The success ratio for the first CPR was 75% (12/16). And the final survival ratio was 50% (8/16).

Conclusion:

Emergency bedside echocardiography has quite important clinical value in the process of treating cardiac arrest. It can help promptly identify the status of cardiac structures and functions

imply the primary cardiac diseases and the relationship with the onset of cardiac arrest

guide the implementation of CPR and evaluate the prognosis of patients.

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