BMJ. 1994 May 21;308(6940):1349-55.
The paediatric life support working party of the European Resuscitation Council was set up in 1992 with the aim of producing guidelines for basic and advanced paediatric resuscitation that would be acceptable throughout Europe. The commonest cause of cardiac arrest in children is problems with the airway. The resulting difficulties in breathing and the associated hypoxia rapidly cause a severe bradycardia or asystole. In contrast, adults have primary cardiac events resulting in ventricular fibrillation. This important difference in the pathogenesis of paediatric and adult cardiac arrest is reflected in these European Resuscitation Council guidelines, which complement those already published for adults.
欧洲复苏委员会儿科生命支持工作组于1992年成立,旨在制定适用于整个欧洲的儿科基础及高级复苏指南。儿童心脏骤停最常见的原因是气道问题。由此导致的呼吸困难及相关的低氧血症会迅速引发严重心动过缓或心搏停止。相比之下,成人心脏骤停主要由心脏事件导致心室颤动。儿科与成人心脏骤停发病机制的这一重要差异在这些欧洲复苏委员会指南中得到体现,这些指南对已发布的成人复苏指南起到补充作用。