双下肢屈曲挤压联合心肺复苏的临床应用  

Both lower extremities flexion extrusion cardiopulmonary resuscitation in clinic application

作　　者：李向[1] 黄慧[1] 方金东[1] 刘静[1] 方莉[1] 

机构地区：[1]六安市立医院重症医学科,安徽六安237000

出　　处：《中国急救医学》2012年第10期933-936,共4页Chinese Journal of Critical Care Medicine

摘　　要：目的评价一种改良心肺复苏（CPR）方法——双下肢屈曲挤压联合CPR的临床应用效果。方法应用双下肢屈曲挤压联合CPR对11例心脏骤停（CA）患者实施CPR。11例患者中的例1是医生电话指导家属直接给予双下肢屈曲挤压联合CPR。11例中的另外10例首先采用标准CPR实施CPR，平均用时34min；7例没有恢复自主循环（ROSC），3例ROSC，但再次CA，给予标准CPR30rain没有ROSC，改用双下肢屈曲挤压联合CPR继续对10例患者CPR。结果采用双下肢屈曲挤压联合CPR，平均用时8．1min，11例患者中9例ROSC。最终2例痊愈，6例存活出院，3例死亡。出院存活率8／11。结论与标准CPR相比，双下肢屈曲挤压联合CPR在ROSC率、出院存活率等方面有一定优势。该方法操作简单，易于在公众中普及。Objective To evaluate the clinical effect of both lower extremities flexion extrusion cardiopulmonary resuscitation （ BLEFE - CPR）. Methods The BLEFE - CPR was applied on 11 patients of cardiac arrest （CA）. Case 1 in 11 patients was given a direct BLEFE- CPR by the family members with a telephone guidance from the doctor. 10 of 11 cases were given an average of 34 minutes standard CPR （S- CPR） at the first. Seven cases had no return of spontaneous circulation （ROSC）. Three cases gained ROSC but resumed CA, and were given S - CPR again but no ROSC after 30 minutes. The 10 patients were then treated with BLEFE - CPR. Results With the use of BLEFE - CPR for 8.1 minutes averagely, 9 of 11 cases got ROSC （81.8%）. Overall, 2 cases were cured, 6 cases survived to discharge, and 3 patients died. The discharged survival rate was 72.7%. Conclusion The preliminary study showed that compared with standard CPR, BLEFE -CPR has certain advantages in the ROSC rates, discharge survival rate, etc. The method is simple, easy to popularize among the public.

关 键 词：心脏骤停(CA) 心肺复苏(CPR) 恢复自主循环(ROSC) 出院存活率 

分 类 号：R457.1[医药卫生—治疗学]