通气与否？ 心肺复苏的新策略（英文）.pdf

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1、2015生6月首都医科大学学报June．2015第36卷第3期JournalofCapitalMedicalUniversityVoL36No．3[doi：10．3969／j．issn．1006-7795．2015．03．031]·转化医学研究·通气与否?心肺复苏的新策略王烁李春盛(首都医科大学附属北京朝阳医院急诊科，北京100020)【摘要】心肺复苏的新策略已经在成人和儿童心肺复苏中倡导“C—A—B”的复苏顺序，即按压一气道一呼吸的复苏顺序。很多研究表明，人工通气并不像以往想象的那么重要。本文对大量最新的心肺复苏研究结论做一综述，其中也包括中国同行的研究成果。【关键词】心肺复苏；人

2、工通气；心外按压【中图分类号】R459．7Ventilationornot?NewstrategiesoncardiopulmonaryresuscitationWangShuo，LiChunsheng(DepartmentofEmergencyMedicine，BeijingChaoyangHospital，CapitalMedicalUniversity，Belting100020，China)【Abstract】NewstrategyofCPRhasbeenraisedandthe“C-A-B”(chestcompression，airway，andbreathing)sequ

3、encehasbeenadvocaredforaduhsandpediatricpatients．Manystudiesdemonstratethattherescuebreathingnotsoimportantaspreviouslythought．Inthisreview，wesummarizemanystudies，includingChinesescholars’，toelaboratethisproblem．【Keywords】cardiopulmonaryresuscitation；rescuebreathing；cardiocerebralresuscitationi

4、snotsoimportantaspreviouslythought．Moreandmore1Introductionstudieshaveinvestigatedtheseproblems，butconclusionsCardiopulmonaryresuscitation(CPR)hasbeenweredifferent．The2010CPRGuidelinerecommendswidelyusedtorescuevictimsofout．of-hospitalcardiacthatifbystanders，whoarenothealthproviders，canper-form

5、continuouscompressionswithoutrescuebreathing，i．arrest(0HCA)sinceitwasintroducedinthe1960s．IthasbeenconfirmedthatprognosisofOHCAcanbeim—e．compressiononlyCPR．However．forinfantsandprovedsignificantlyifbystanderscanperformCPRaschildrenwithhypoxiareasoncommonly，rescuebreathingisobviouslyimportantand

6、cannotbeomitted．promptlyashecan．The2010Guidelineshavefocusedonthefundamen—2ThebasictheoryupdateofCPRtalimportanceofhigh—qualityCPRandchangedthebasiclifesupport(BLS)sequencefrom“A—B—C”fair—Performingcontinuouschestcompressionsenableway，breathing，andchestcompression)to“C—A—B”coronaryarterytoobtai

7、ncontinuousandeffectiveblood(chestcompression，airway，andbreathing)foradultsperfusion．Onthecontrary，interruptionofcompressions1[引andpediatricpatients(excludingnewborns．Chi．decreasescoronaryperfusionpressure(CPP)．Rescuenesescholarsa