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心肺脑复苏ppt课件

(心脑复苏:心脏骤停救治的观念变革 ▲ 美国加州大学急诊科 Daniel P. Davis )
心脑复苏:复苏新概念——成年人心脏骤停最需要考虑大脑供血
杨进刚 王欣 阜外心血管病医院
改变AHA指南--是否改善院外心脏骤停者存活率?
美国亚利桑那州立大学医学院Gordon A. Ewy 戈尔东·尤伊
标准心肺复苏术的替代方法:连续胸外按压术
4.心室纤颤几分钟后,除颤后常常出现心跳停顿或是心电机械分离,因此,除颤后应立即进行持续胸外按压 ,而不应该等待观察心脏复律情况。
5. Any form of positive-pressure ventilation is deleterious during cardiac arrest because the increase in intrathoracic pressure decreases venous return to the heart and perfusion of the heart and brain.
心肺复苏---心脑复苏 心跳骤停救治观念的变革
贵州省人民医院麻醉科 方开云
.
心脑复苏 取代心肺复苏急救法? 陈淮沁 (2009-07-23)-----颠覆性作用的观念改革。 新加坡
Cardiocerebral Resuscit
Daniel P. Davis, MD* Department of Emergency Medicine, University of California San Diego, San Diego, California
.
Perspective: The following are 10 points to remember from this review of cardiocerebral resuscitation (CCR):

1. The first step of CCR for witnessed cardiac arrest is continuous chest compressions (CCCs) without mouth-to-mouth or
possible.
8.心脑复苏并不适合呼吸骤停的病人。这类病人首先需要尽快辅助通气。
9. Hypothermia is appropriate for patients who are comatose post-resuscitation.
9.处于昏迷的复苏后综合征病人,(控制性)低温是适宜的。
10. Compared to conventional CPR, CCR has been shown to improve survival to hospital discharge after out-of-hospital cardiac
mechanical ventilation.
1.在有病人心脏停跳后进行心脑复苏首先是持续胸外按压,而不是口对口呼吸或是机械通气。
2. If an automated external defibrillator is available within 4-5 minutes of the onset of a ventricular fibrillation (VF) arrest, a shock should be promptly delivered. 2.一个病人发生心室纤颤的四五分钟内,如果有条件进行体外自动颤,应该迅速进行除颤。 3. After the first 5 minutes of VF arrest, because myocardial energy stores are depleted and attempts at electrical defibrillation typically result in asystole or pulseless electrical activity (PEA), defibrillation should be preceded by 200 CCCs.
6.口对口呼吸也是有害的。因为进行心肺抢救患者的人员需要停止持续胸外按压而行口对口呼吸。
7. Instead of assisted ventilation, the airway should be opened with an oropharyngeal device and a non-rebreather mask should be used to deliver high-flow oxygen for passive oxygen insufflation.
7.不应该进行辅助通气,而是应该使用开口器械保持气道通畅。并且使用非再生式氧气面罩给
予高流量氧气吹送。
8. CCR is not appropriate for patients with a respiratory arrest, because such patients require assisted ventilation as quickly as
5.在心脏停跳期间,任何形式的正压通气都是有害的。因为正压通气会提高胸内压,减少静脉回流,进而减
少心脑血液灌注。
6. Mouth-to-mouth escue breaths?also are deleterious because they dissuade bystanders from performing cardiopulmonary resuscitation (CPR) and necessitate a pause in CCCs.
3.在发生心室纤颤五分钟后,由于心肌能量储备的耗竭,电除颤常常导致心跳停顿或是心电机械分离,因此,要将持 续胸外按压放在除颤之前。
4. After several minutes of VF, defibrillation often is followed by asystole or PEA and therefore 200 CCCs should be administered immediately post-shock, without a pause to assess the rhythm.
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