Rabl W, Baubin M, Broinger G, Scheithauer R
Institut für Forensische Medizin, Leopold-Franzens-Universität, Innsbruck, Austria.
Int J Legal Med. 1996;109(2):84-9. doi: 10.1007/BF01355522.
Complications arising from techniques of cardiopulmonary resuscitation (CPR) were reviewed by analysing the autopsy protocols of 25 patients who died after standard (Std) CPR and 31 who died after active compression-decompression (ACD) CPR, 15 of them preceded by Std CPR. The results can be summarised as follows: After Std CPR (n = 25) rib fractures were detected in 28%, sternal fractures in 16%, and no injuries in 68%. After ACD-CPR (n = 16) rib fractures occurred in 68%, sternal fractures in 68% and no injuries in 25%. After ACD-CPR following Std CPR(n = 15) rib fractures were detected in 93%, sternal fractures in 93%, and no patients were without thoracic fracture. In two patients severe cardiac injuries occurred clearly attributable to CPR. In conclusion cardiopulmonary resuscitation by the ACD-technique caused rib and sternal fractures more often than Std CPR and has a higher risk for iatrogenic cardiac and possible fatal injury.
通过分析25例接受标准心肺复苏（Std CPR）后死亡患者和31例接受主动按压-减压心肺复苏（ACD CPR）后死亡患者的尸检记录，对心肺复苏技术引发的并发症进行了回顾。其中，15例接受ACD CPR的患者之前接受过Std CPR。结果总结如下：接受Std CPR（n = 25）的患者中，28%检测到肋骨骨折，16%检测到胸骨骨折，68%未发现损伤。接受ACD CPR（n = 16）的患者中，68%发生肋骨骨折，68%发生胸骨骨折，25%未发现损伤。在接受Std CPR后再接受ACD CPR（n = 15）的患者中，93%检测到肋骨骨折，93%检测到胸骨骨折，无一例患者没有胸部骨折。有2例患者出现严重心脏损伤，显然可归因于心肺复苏。总之，与Std CPR相比，ACD技术进行的心肺复苏更常导致肋骨和胸骨骨折，且医源性心脏损伤和可能的致命损伤风险更高。
