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心肺复苏术的最新进展。

Cardiopulmonary resuscitation update.

作者信息

Reynolds Joshua C, Bond Michael C, Shaikh Sanober

机构信息

Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, MD, USA.

出版信息

Emerg Med Clin North Am. 2012 Feb;30(1):35-49. doi: 10.1016/j.emc.2011.09.006. Epub 2011 Oct 2.

Abstract

Cardiopulmonary resuscitation (CPR) is vital therapy in cardiac arrest care by lay and trained rescuers. Chest compressions are the key component of CPR. Ventilation and airway management should be secondary to high-quality and continuous chest compressions in patients receiving CPR. Only after the patient has had return of spontaneous circulation or completed a cycle of CPR with defibrillation (if appropriate) should attempts at securing an advanced airway be made. Even then, interruptions of chest compressions should be minimized to maintain cardiocerebral perfusion and increase survival. Finally, the ventilation rate should be no more than 8 to 10 breaths per minute.

摘要

心肺复苏术(CPR)是由非专业人员和经过培训的救援人员对心脏骤停患者进行急救的重要治疗方法。胸外按压是心肺复苏术的关键组成部分。对于接受心肺复苏术的患者,通气和气道管理应次于高质量的持续胸外按压。只有在患者恢复自主循环或完成一轮伴有除颤(如适用)的心肺复苏术后,才应尝试建立高级气道。即便如此,也应尽量减少胸外按压的中断,以维持心脑灌注并提高生存率。最后,通气频率应不超过每分钟8至10次呼吸。

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