复苏、长时间心脏骤停与自动胸外按压装置
Resuscitation, prolonged cardiac arrest, and an automated chest compression device.
作者信息
Risom Martin, Jørgensen Henrik, Rasmussen Lars S, Sørensen Anne Marie
机构信息
Department of Anaesthesia, Centre of Head and Orthopaedics, Section 4231, Copenhagen University Hospital, Copenhagen, Denmark.
出版信息
J Emerg Med. 2010 May;38(4):481-3. doi: 10.1016/j.jemermed.2008.09.033. Epub 2009 Feb 13.
BACKGROUND
The European Resuscitation Council's 2005 guidelines for cardiopulmonary resuscitation (CPR) emphasize the delivery of uninterrupted chest compressions of adequate depth during cardiac arrest.
OBJECTIVES
To describe how the circumstances of out-of-hospital cardiac arrest can impede the performance of CPR, and how this situation can be overcome.
CASE REPORT
The presentation of two cases of prolonged CPR (48 min and 120 min, respectively) with an automated chest compression device, the AutoPulse, under difficult circumstances. Both patients survived without neurological sequelae.
CONCLUSION
Prolonged chest compressions may be necessary in some cardiac arrests. These cases suggest that automated chest compression devices may increase the chance of a favorable outcome in these rare situations.
背景
欧洲复苏委员会2005年心肺复苏（CPR）指南强调在心脏骤停期间进行深度足够且不间断的胸外按压。
目的
描述院外心脏骤停的情况如何妨碍心肺复苏的实施，以及如何克服这种情况。
病例报告
介绍两例在困难情况下使用自动胸外按压设备AutoPulse进行长时间心肺复苏（分别为48分钟和120分钟）的病例。两名患者均存活且无神经后遗症。
结论
在某些心脏骤停病例中，可能需要进行长时间胸外按压。这些病例表明，在这些罕见情况下，自动胸外按压设备可能会增加获得良好预后的机会。
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