论文部分内容阅读
心跳骤停(CA)后,如何提高CPCR的成功率,一直是人们十分关注的问题.其中心肺复苏(CPR)开始的时间是CPCR成功的关键.文献报道,CA后4min内施行CPR术,8~10min内得到全面抢救者,CPR成功率可达40%以上.本组8例,均为院内目击CA者,我们的CPR成功率高达75%,其中CPCR成功率为12．5%.改进的措施是:(1)增加胸外心脏按压的频率,以100次/分为宜.(2)早期电击除颤.(3)超标准肾上腺素(1~2毫克/次).3~5min可重复给药.(4)早期建立中心静脉通路.(5)循环恢复后及时做好如头部降温等脑肾功能保护.(6)纠正酸碱平衡失调,“宁酸、勿碱”.
How to improve the success rate of CPCR after cardiorespiratory arrest (CA) has always been a very important issue.However, the time of starting CPR is the key to the success of CPCR.It has been reported in the literature that CPR is performed within 4 minutes after CA ~ 10min within a comprehensive rescue, CPR success rate of up to 40% or more in this group of 8 patients were hospital witnessed CA, our CPR success rate as high as 75%, of which CPCR success rate was 12.5%. Measures are: (1) to increase the frequency of intrathoracic heart compression to 100 times / min is appropriate. (2) early shock defibrillation (3) ultra-standard epinephrine (1 to 2 mg / time) 3 ~ 5min Repeated administration. (4) early establishment of central venous access. (5) timely recovery of brain and kidney function such as cooling the head, such as the protection. (6) to correct acid-base balance disorders, “Ning acid, alkali.”