David R
Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
Pediatrics. 1988 Apr;81(4):552-4.
The recommended techniques for external cardiac compression during cardiopulmonary resuscitation of the newborn are reviewed. The American Heart Association advises the rescuer to depress the infant's midsternum with the index and forefingers. An alternative recommendation is to encircle the chest with both hands and appose the thumbs on the midsternum. The cases reported here prove the superiority of the latter maneuver over the former in improving cardiac output and systemic blood pressures. The history of external cardiac compression in infants and children is briefly reviewed, further supporting the conclusion that the technique of encircling the chest with thumbs at midsternum is more efficacious and hence the preferred approach to closed chest cardiac massage in the newborn.
回顾了新生儿心肺复苏期间体外心脏按压的推荐技术。美国心脏协会建议施救者用食指和中指按压婴儿胸骨中部。另一种推荐方法是双手环抱胸部，将拇指置于胸骨中部。此处报告的病例证明了后一种手法在改善心输出量和全身血压方面优于前一种手法。简要回顾了婴幼儿体外心脏按压的历史，进一步支持了以下结论：用拇指在胸骨中部环抱胸部的技术更有效，因此是新生儿胸外心脏按摩的首选方法。
