Abman S H, Fan L L, Cotton E K
J Emerg Med. 1984;2(1):7-12. doi: 10.1016/0736-4679(84)90039-8.
Recently, the Committee of Accident and Poison Prevention of the American Academy of Pediatrics presented its recommendations regarding the emergency management of the choking child. Renewed interest was stimulated in the controversy regarding whether back blows, abdominal thrusts, or chest thrusts should be used in the initial treatment of foreign-body obstruction of the upper airway. Two cases exemplifying problems in patient management are presented as a basis of focusing on the current controversy. Review of the clinical and experimental data suggests that back blows, followed by either chest or abdominal thrusts, are a reasonable approach to emergency airway obstruction, but that this recommendation is based on limited evidence.
最近，美国儿科学会事故与中毒预防委员会提出了关于窒息儿童急救管理的建议。这重新引发了人们对在治疗上呼吸道异物阻塞的初始阶段应采用背部拍打、腹部冲击还是胸部冲击的争议的关注。本文介绍了两个体现患者管理问题的病例，作为关注当前争议的基础。对临床和实验数据的回顾表明，先进行背部拍打，然后再进行胸部或腹部冲击，是处理紧急气道阻塞的一种合理方法，但这一建议基于的证据有限。
