胸外心脏按压是否需要改进  

Does external cardiac massage need to be improved

作　　者：何忠杰[1] 沈文筠 林洪远[1] 张星火[1] 黄若宇 姚金风 陆翠玲[1] 翁志华[1] 李晓静[1] 

机构地区：[1]解放军304医院,北京100037

出　　处：《中国危重病急救医学》1993年第2期77-78,共2页Chinese Critical Care Medicine

摘　　要：通过对5例难以成活的患者,以两组人员进行胸外心脏按压(ECM),又以不同频率按压,比较其对循环支持的效果。初步认为:在正规熟练的胸外按压基础上,提高按压频率,心排量可高于开胸心脏按摩(OCCM),与直接心室机械激动(DMVA)的结果相似。肯定了胸外心脏按压的普及、简便、大范围使用的优点,目前仍视为临床复苏的主要方法,并提出了对标准心肺复苏的改进见解。Circulatory resuscitation and support have been developed extensively since the standard cardiopulmonary resuscitation(CPR)was issued byAmerican Heart Association in 1986.We observed thehemodynamic variables during the procedures of CPRwith external cardiac massage(ECM)after cardiac ar-rest in 5 critically ill pationts,and compared the effica-cy of ECM performed by different medical collcagueswith different massage frequencies.If was shown thatselecting the massage frequency to an adequate levelwith standard manipulation during ECM may obtainbetter cardiac output than open chest cardiac massage(OCCM),and its efficacy was similar to direct me-chanical ventricular actuation(DMVA).We considerthat ECM is easy to manipulate and popularize.

关 键 词：胸外心脏按压 心脏按摩 

分 类 号：R605.974[医药卫生—急诊医学]