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外周动脉压迫作为心肺复苏的一种新辅助技术

Peripheral Arterial Compression as a New Adjunct Technique to Cardiopulmonary Resuscitation.

作者信息

Quinn Kristen M, Hardy William A, Seigler Samuel W, Holman Heather L, Kwon Jennie H, Rajab Taufiek Konrad

机构信息

Department of Surgery, Medical University of South Carolina, Charleston, SC 29425, USA.

College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

Healthcare (Basel). 2022 Nov 1;10(11):2194. doi: 10.3390/healthcare10112194.

DOI:10.3390/healthcare10112194
PMID:36360535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9690419/
Abstract

The success of cardiopulmonary resuscitation (CPR) is critically dependent on the maintenance of myocardial and cerebral perfusion; therefore, preferential perfusion of these vital organs over non-vital vascular beds, such as the extremities, is desirable. We propose that compression of the femoral and/or brachial arteries during CPR improves resuscitation outcomes.

摘要

心肺复苏（CPR）的成功严重依赖于心肌和脑灌注的维持；因此，相较于非重要血管床（如四肢），优先灌注这些重要器官是可取的。我们提出，在心肺复苏期间压迫股动脉和/或肱动脉可改善复苏结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ec/9690419/bd9d27d165be/healthcare-10-02194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ec/9690419/bacd2e310bd2/healthcare-10-02194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ec/9690419/bd9d27d165be/healthcare-10-02194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ec/9690419/bacd2e310bd2/healthcare-10-02194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3ec/9690419/bd9d27d165be/healthcare-10-02194-g002.jpg

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本文引用的文献

1
Effect of the Abdominal Aortic and Junctional Tourniquet on chest compressions in a swine model of ventricular fibrillation.腹主动脉和连接部止血带对猪心室颤动模型中胸外按压效果的影响。
Am J Emerg Med. 2021 Jul;45:297-302. doi: 10.1016/j.ajem.2020.08.075. Epub 2020 Aug 27.
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First experience with the abdominal aortic and junctional tourniquet in prehospital traumatic cardiac arrest.
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Hemodynamic-Directed Cardiopulmonary Resuscitation Improves Neurologic Outcomes and Mitochondrial Function in the Heart and Brain.血流动力学导向心肺复苏可改善心脑的神经功能预后和线粒体功能。
Crit Care Med. 2019 Mar;47(3):e241-e249. doi: 10.1097/CCM.0000000000003620.
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Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association.《2019年心脏病和中风统计数据更新：美国心脏协会报告》
Circulation. 2019 Mar 5;139(10):e56-e528. doi: 10.1161/CIR.0000000000000659.
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Resuscitative Endovascular Balloon Occlusion of the Aorta in Experimental Cardiopulmonary Resuscitation: Aortic Occlusion Level Matters.在实验性心肺复苏中使用主动脉球囊反搏复苏：主动脉阻断水平很重要。
Shock. 2019 Jul;52(1):67-74. doi: 10.1097/SHK.0000000000001236.
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The Use of the Abdominal Aortic and Junctional Tourniquet During Cardiopulmonary Resuscitation Following Traumatic Cardiac Arrest in Swine.猪创伤性心脏骤停后心肺复苏期间腹主动脉和关节止血带的应用
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Ischemia/Reperfusion.缺血/再灌注
Compr Physiol. 2016 Dec 6;7(1):113-170. doi: 10.1002/cphy.c160006.
8
Blood Pressure- and Coronary Perfusion Pressure-Targeted Cardiopulmonary Resuscitation Improves 24-Hour Survival From Ventricular Fibrillation Cardiac Arrest.血压和冠状动脉灌注压靶向心肺复苏可提高心室颤动性心脏骤停后的24小时生存率。
Crit Care Med. 2016 Nov;44(11):e1111-e1117. doi: 10.1097/CCM.0000000000001859.
9
A tourniquet assisted cardiopulmonary resuscitation augments myocardial perfusion in a porcine model of cardiac arrest.在猪心脏骤停模型中，止血带辅助心肺复苏可增加心肌灌注。
Resuscitation. 2015 Jan;86:49-53. doi: 10.1016/j.resuscitation.2014.10.009. Epub 2014 Oct 23.
10
Hemodynamic directed CPR improves cerebral perfusion pressure and brain tissue oxygenation.血流动力学导向的心肺复苏可改善脑灌注压和脑组织氧合。
Resuscitation. 2014 Sep;85(9):1298-303. doi: 10.1016/j.resuscitation.2014.05.040. Epub 2014 Jun 16.