摘 要：目的：比较常规剂量与大剂量的肾上腺素对心跳骤停复苏中病人的自主循环恢复和存活率的影响。方法：收集病例资料，应用循证医学方法对资料中不同剂量肾上腺素在心跳骤停复苏中的应用进行分组并进行分析和总结。结果：自主循环恢复率大剂量肾上腺素组优于常规剂量组(p<0.05)，而出院时两组生存率无统计学的差异。结论：大剂量肾上腺素在心跳骤停复苏中的应用有利于自主循环的恢复但未相应增加生存率。

    关键词： 肾上腺素； 心脏骤停； 循证医学

    The Study of Application of Adrenalin to Cardiac Arrest Resuscitate in Normal and Over Doses

    LIU Jun-da, HUANG Lin- xi, WU Xian- ren, et al

    (Emergency Department, The First Affiliated Hospital,Shantou University Medical College, Guangdong Shantou 515041, China)

    Abstract: Objective: To explore the effect of application of adrenalin to cardiac arrest resuscitate in normal and over doses on patients’ survive rate. Method: The related literature and data were collected for study, and circulative medicine methods were applied to statistically outline and analyze the application of adrenalin to cardiac arrest resuscitate in different doses from the literature and data. Result: For resuming the autonomic circulation , the application of adrenalin in over dose group was superior to that in normal dose, while there was no statistical difference in survive rates between the two groups when the patients left hospital. Conclusion: The application of adrenalin to cardiac arrest resuscitate in over dose could do benefit to the autonomic circulation but could not improve the survival rate. ......