Alifimoff J K
Resuscitation. 1987 Mar;15(1):13-21. doi: 10.1016/0300-9572(87)90094-3.
Since the rediscovery and popularization of closed-chest cardiopulmonary resuscitation (CPR) in the early 1960s, this technique has largely replaced open-chest cardiac massage. However, in the ensuing quarter of a century, a large amount of data has been accumulated that seems to indicate that open-chest CPR is the physiologically superior method of cardiopulmonary resuscitation. This paper reviews that data comparing these two CPR modalities. The first part discusses data obtained from animal studies, while the second considers the limited amount of information that has been obtained from human investigations. The authors concludes that a randomized clinical trial of open-chest and closed-chest CPR is needed to fully evaluate the efficacy of these two resuscitative techniques as well as to define the most appropriate circumstances for the use of internal cardiac massage.
自20世纪60年代初重新发现并普及闭胸心肺复苏术（CPR）以来，这项技术在很大程度上已取代了开胸心脏按摩。然而，在随后的25年里，积累了大量数据，这些数据似乎表明开胸心肺复苏术在生理上是更优的心肺复苏方法。本文回顾了比较这两种心肺复苏方式的数据。第一部分讨论了从动物研究中获得的数据，而第二部分则考虑了从人体研究中获得的有限信息。作者得出结论，需要对开胸和闭胸心肺复苏术进行随机临床试验，以全面评估这两种复苏技术的疗效，并确定使用开胸心脏按摩的最合适情况。
