Handley Anthony J
Resuscitation. 2009 Jul;80(7):752-4. doi: 10.1016/j.resuscitation.2009.03.031. Epub 2009 May 21.
There is mounting evidence to support the concept of chest compression-only CPR for out-of-hospital cardiac arrest victims, not least because it is simple and does not require rescuers to perform unpleasant mouth-to-mouth ventilation. The problem is that for a small, but important, minority of victims (children and those suffering an asphyxial or prolonged arrest) this is suboptimal treatment. The forthcoming guidelines revision process will require a compromise to be reached. The solution proposed is citizen training in two stages: adult compression-only CPR initially, then a second, follow-up stage when ventilation is added to satisfy the needs of minority victims.
越来越多的证据支持对院外心脏骤停患者实施仅胸外按压的心肺复苏术这一理念,尤其是因为它操作简单,且无需救援者进行令人不适的口对口通气。问题在于,对于一小部分但很重要的患者群体(儿童以及那些因窒息或长时间心脏骤停而发病的患者),这种治疗方法并非最佳选择。即将到来的指南修订过程需要达成一种妥协。所提出的解决方案是分两个阶段对公众进行培训:首先是成人仅胸外按压心肺复苏术,然后是第二阶段的后续培训,在这一阶段增加通气内容以满足少数患者的需求。