| 在中国实施院前心肺复苏需要人工通气 |
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| 引用本文： | 包芳萍,潘渊明,郑树森. 在中国实施院前心肺复苏需要人工通气[J]. 浙江大学学报(医学版), 2014, 43(5): 505. DOI: 10.3785/j.issn.1008-9292.2014.09.004 |
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| 作者姓名： | 包芳萍 潘渊明 郑树森 |
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| 作者单位： | 1. 浙江大学医学院附属第一医院麻醉科， 浙江 杭州 310003 2. 浙江大学医学院附属第一医院肝胆胰外科， 浙江 杭州 310003 |
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| 基金项目： | 浙江省医学会临床科研基金（2011zyc-A14） |
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| 摘 要： | 心肺复苏（CPR）是针对心脏骤停的一系列救援措施用以挽救患者生命。及早有效的院前CPR是挽救患者生命的重要措施。近年来国际CPR的指南有较大改变，更重视通过胸外按压环节以维持循环，弱化了人工通气环节。单纯胸外按压而不需要人工通气的基础CPR广为流传。本文综述近现代CPR的发展及相关研究结果。考虑无氧6 min可导致脑损伤、在中国救护车到达现场和转运时间较长、单纯胸外按压容易疲劳等情况，我们认为在中国实施单纯胸外按压的CPR并不合适。一些非专业人员虽然感到口对口人工通气比较难实施，但是大部分还是愿意施行人工通气操作的。广泛开展公众CPR培训，提高对包括人工通气和胸外按压环节的CPR认知度和掌握度，以维持有效通气和循环是目前中国CPR发展的重点。
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| 关 键 词： | 心肺复苏术 呼吸 人工 心脏按摩 综述 |
| 收稿时间： | 2014-06-07 |
Out-of-hospital cardiopulmonary resuscitation needs the ventilation |
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| BAO Fang-ping,PAN Yuan-ming,ZHENG Shu-sen. Out-of-hospital cardiopulmonary resuscitation needs the ventilation[J]. Journal of Zhejiang University. Medical sciences, 2014, 43(5): 505. DOI: 10.3785/j.issn.1008-9292.2014.09.004 |
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| Authors: | BAO Fang-ping PAN Yuan-ming ZHENG Shu-sen |
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| Affiliation: | 1. Department of Anesthesiology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China; 2. Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China |
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| Abstract: | Cardiopulmonary resuscitation (CPR) is series of rescue measures for saving cardiac arrest patients. Early initiation and good quality of CPR is crucial for increasing chance of survival from out-of-hospital cardiac arrest. In recent years, the CPR guidelines have changed a lot, especially in basic life support. The guideline now pays more attention on chest compression and less to ventilation. CPR with chest compression only and without mouth-to-mouth ventilation is more popular. In this article, we outline the development and recent researches of CPR. As depriving oxygen from a collapsed patient for 6 min may result in poor outcome, the average time for ambulance transport is longer (about 10 to 16 min) in China,which makes rescuers easy to feel fatigue, chest compression only CPR is not suitable in China. Though non-professional rescuers have difficulty to perform mouth-to-mouth ventilation, they generally show a willingness to do so. To strengthen public standard CPR training including mouth-to-mouth ventilation and chest compression, is most important to promote CPR in China. |
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| Keywords: | Cardiopulmonary resuscitation Respiration artificial Heart massage Review |
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