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前言在临床上,来诊时已心跳呼吸停止(DOA)以及猝死的病例并不多,但是,由于现场抢救复杂,又与预后有密切关系,所以,要求抢救人员要有丰富的经验、较深的专业知识和熟练的抢救技术、以及事前备好的各种抢救设备。另外,由于是突然发生的,家属情绪不冷静,又多发生在家庭以外的学校、幼儿园、托儿所等,将来容易发生医疗纠纷,所以医务人员在抢救的同时,要整理好病志,并向家属交待好病情。一、小儿DOA 患者的实质日本对小儿DOA病例的研究不多,其实质尚不清楚,东京八王子医院,从1981年4月～1986年3月五年间收治的15岁以下的30例DOA病儿,14例在小儿科处理,仅占同期儿科门诊抢救例数的0.18%,
Preface Clinically, there are not many cases of cardiac arrest (DOA) and sudden death when visiting a clinic. However, due to the complexity of on-site rescue and its close relationship with prognosis, it is required that rescue workers should have extensive experience Professional knowledge and skilled rescue techniques, as well as prepared in advance a variety of rescue equipment. In addition, because it is a sudden, family members are not calm, but also occur in schools outside of the home, kindergartens, nurseries and so on, the future prone to medical disputes, so medical staff at the same time, we must arrange good signs, and family members To be good condition. First, the essence of pediatric patients with DOA DOA in children in Japan is not much research, its essence is not clear, Tokyo Hachioji Hospital, from April 1981 to March 1986 admitted to 15 years of age 30 patients with DOA , 14 cases treated in pediatrics, accounting for only 0.18% of the number of pediatric outpatient rescue cases in the same period,