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[儿童基础及高级复苏]

[Basic and advanced resuscitation of children].

作者信息

Lauritsen Torsten Leif Bunk, Jensen Tim, Greisen Gorm

机构信息

Rigshospitalet, Juliane Marie Centret, Anaestesiafdelingen, Paediatrisk Afdeling GGK og Neonatalafdelingen, København Ø.

出版信息

Ugeskr Laeger. 2008 Nov 17;170(47):3851-4.

PMID:19014737
Abstract

The ERC Guidelines 2005 regarding the resuscitation of children and neonates recommend changes in treatment algorithms. Cardiac arrest in children is most often caused or worsened by hypoxic conditions. On confirmation of cardiac arrest in a child, treatment is initiated with 5 ventilations and continued with alternating cycles of 15 chest compressions and 2 ventilations. Defibrillation of ventricular fibrillation or pulseless ventricular tachycardia is given as single 4 J per kg(-1) shock in every cycle. Rhythm or pulse is not assessed immediately after defibrillation, but first after two minutes of basic life support, i.e. before a new attempt of defibrillation.

摘要

欧洲复苏委员会(ERC)2005年关于儿童和新生儿复苏的指南建议对治疗方案进行调整。儿童心脏骤停最常见的原因是缺氧状况或因缺氧状况而恶化。确认儿童发生心脏骤停后,首先进行5次通气,然后以15次胸外按压和2次通气交替循环进行治疗。对于心室颤动或无脉性室性心动过速,每次除颤给予4 J/kg的单次电击。除颤后不立即评估心律或脉搏,而是在进行两分钟基本生命支持后,即在再次尝试除颤之前进行评估。

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