2010年美国心脏协会儿童心肺复苏指南更新的解读  

Highlights of 2010 American Heart Association guidelines changes for pediatric cardiopulmonary resuscitation

作　　者：钱素云[1] 高恒淼[1] 

机构地区：[1]首都医科大学附属北京儿童医院,100045

出　　处：《中国小儿急救医学》2012年第1期1-4,共4页Chinese Pediatric Emergency Medicine

基　　金：首都医学发展基金联合攻关项目（2007-1031）

摘　　要：2010年10月，美国心脏协会新的儿童基础和高级生命支持指南发布。新指南由众多专家历经3年，对大量心肺复苏文献复习和讨论达成一致意见后完成。与2005版儿童基础和高级生命支持指南相比，新指南对一些关键问题作了重要更新，包括基础生命支持步骤由A．B．C改为C—A—B、高质量胸外按压、除颤及自动除颤器在婴儿中的使用、复苏过程中药物的使用、先天性心脏病患儿的复苏、复苏后处理及对心源性猝死的评估。本文对其重要更新及依据作一简要介绍。In Oct 2010, American Heart Association （AHA） released new guidelines for pediatric basic life support and pediatric advanced life support. The new AHA guidelines are based on an extensive review of thousands of resuscitation studies by experts who reached a consensus over a 3-year period. Compared with the 2005 AHA guidelines for pediatric basic and advanced life support, the new guidelines made major changes on some key issues,including the change of basic life sequence from A-B-C to C-A-B, high-quality chest compression, defibrillation and the use of automated external defibrillator in infants, medications during resuscitation, resuscitation of children with congenital heart disease, post-resuscitation management and evaluation of sudden cardiac death victims. This paper summarized the substantial changes and the reasons to change.

关 键 词：心肺复苏 基础生命支持 高级生命支持 儿童 

分 类 号：R459.7[医药卫生—急诊医学]