Narahara Hajime, Kimura Masafumi, Suto Takashi, Saito Hiroyuki, Tobe Masaru, Aso Chizu, Nishihara Fumio, Saito Shigeru
Department of Anesthesiology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Wilderness Environ Med. 2012 Jun;23(2):161-4. doi: 10.1016/j.wem.2012.02.001.
The authors experienced a case of prolonged cardiopulmonary resuscitation (CPR) on Mount Fuji (3776 m) that demanded strenuous work by the rescuers. The objective of this study was to provide information regarding the physiologic effects on the rescuers of performing CPR at moderate altitude.
The effects of CPR at 2700 m and 3700 m above sea level on the physical condition of the rescuers were studied in 8 male volunteers.
Cardiopulmonary resuscitation for 5 minutes at 3700 m significantly reduced arterial blood oxygen saturation and increased rate-pressure products (P < .05). Scores on the Borg scale, a subjective score of fatigue, after CPR action at 2700 m (P < .05) and 3700 m (P < .01) were higher than the scores at sea level.
Prolonged CPR at high altitude exerts a significant physical effect upon the condition of rescuers. A role for mechanical devices should be considered wherever possible.
作者遇到了一例在富士山（海拔3776米）进行长时间心肺复苏（CPR）的病例，这对救援人员来说工作强度极大。本研究的目的是提供有关在中等海拔进行心肺复苏对救援人员生理影响的信息。
在8名男性志愿者中研究了海拔2700米和3700米处心肺复苏对救援人员身体状况的影响。
在3700米处进行5分钟心肺复苏显著降低了动脉血氧饱和度并增加了率压乘积（P <.05）。在2700米（P <.05）和3700米（P <.01）进行心肺复苏操作后，Borg量表（一种主观疲劳评分）的得分高于海平面处的得分。
在高海拔地区进行长时间心肺复苏对救援人员的身体状况有显著影响。应尽可能考虑使用机械设备。
