Wang Lixiang, Meng Qingyi, Yu Tao
Emergency Center, General Hospital of Chinese People's Armed Police Forces, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Beijing 100039, China (Wang LX); Department of Emergency, Chinese PLA General Hospital, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Beijing 100853, China (Meng QY); Department of Emergency, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Associations, Guangzhou 510120, Guangdong, China (Yu T). Corresponding author: Wang Lixiang, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Oct;29(10):865-870. doi: 10.3760/cma.j.issn.2095-4352.2017.10.001.
In the article, we compared "2016 national consensus on cardiopulmonary resuscitation in China" and "2015 American Heart Association guidelines on cardiopulmonary resuscitation and emergency cardiovascular care" with their definition, orientation, characterization, quantifying and thinking mode. Chinese consensus on cardiopulmonary resuscitation (CPR) emphasizes the concept of "survival cycle" and focuses on the victim, it defines the rate of survival in its broad sense, and the thinking mode of the document is typically oriental style. However, American guidelines on CPR emphasize the concept of "survival chain" and the rescuer, it defines the rate of survival in its narrow sense, and the thinking mode is western style. The Chinese consensus cited American guidelines as part of references, and specialized them locally according to the current situation in China. In Chinese consensus, the cycle of survival covers three periods, pre-arrest phase, intra-arrest phase and post-resuscitation phase. In the pre-arrest phase, "three-prevention" policies should be adopted, which are precaution, pre-identification and early warning. During intra-arrest phase, CPR should be carried out with "three-ways" strategies, which are standardization, diversification and individuation. The "three lives" general plans should be considered during the post-resuscitation phase, which are demutation, transcending and extension. Chinese consensus on CPR has provided an omnibearing, overall-process and three-dimensional program with Chinese wisdom.
在本文中，我们对《2016中国心肺复苏专家共识》和《2015美国心脏协会心肺复苏及心血管急救指南》在定义、定位、特点、量化及思维模式方面进行了比较。中国心肺复苏专家共识强调“生存链”概念，以患者为中心，广义定义生存几率，其文件思维模式为典型的东方风格。而美国心肺复苏指南强调“生存链”概念及施救者，狭义定义生存几率，思维模式为西方风格。中国专家共识引用了美国指南作为参考文献，并根据中国国情进行了本土化细化。在中国专家共识中，生存链涵盖三个阶段，即心脏骤停前阶段、心脏骤停期间阶段和复苏后阶段。在心脏骤停前阶段，应采取“三防”策略，即预防、早识别和早预警。在心脏骤停期间阶段，应采用“三法”策略进行心肺复苏，即标准化、多样化和个体化。在复苏后阶段，应考虑“三生”总体计划，即蜕变、超越和延伸。中国心肺复苏专家共识提供了一个具有中国智慧的全方位、全过程、立体式方案。
