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作者报道20例心脏骤停的儿童,用“大剂量肾上腺素”(HDE)进行复苏(CPR)(做为Ⅰ组),此组患儿都是在心脏骤停后7分钟以内气管内插管纯氧通气,至少两次用“常规剂量肾上腺素”(SDH)(0.01mg/kg/次)仍不能恢复自主循环,间隔5分钟即静注大剂量肾上腺素0.2mg/kg(婴儿用1∶1万;较大儿童用1∶1千浓度),如心动过缓则静注阿托品0.01mg(最少0.1mg)和碳酸氢钠1mEq/kg。此20例病儿均连续做心电图监测凡出现室上性心律,触及脉搏或收缩压>60mmHg,即视为 CPR 成功。
The authors report that 20 children with cardiac arrest were treated with “high dose epinephrine” (HDE) for recovery (CPR) (group I), all of whom received endotracheal intubation within 7 minutes after cardiac arrest Pure oxygen ventilation, at least twice with “normal dose of epinephrine” (SDH) (0.01mg / kg / time) still can not restore autonomic circulation, intravenous injection of large doses of epinephrine 0.2mg / kg 5 minutes apart 1 million; larger children with 1: 1 thousand concentration), such as bradycardia intravenous atropine 0.01mg (at least 0.1mg) and sodium bicarbonate 1mEq / kg. The 20 cases of sick children were continuously ECG monitoring Wherever supraventricular heart rhythm, touch the pulse or systolic blood pressure> 60mmHg, CPR is considered successful.