2015年AHA心肺复苏及心血管急救指南更新解读  

Interpretation of 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care

作　　者：郑杨[1] 赵巍[1] 

机构地区：[1]吉林大学第一医院,吉林长春130021

出　　处：《中国实用内科杂志》2016年第4期292-294,共3页Chinese Journal of Practical Internal Medicine

摘　　要：文章总结并解读了《2015AHA心肺复苏及心血管急救指南更新》中的关键问题和部分内容变更。指南中强调了院外心脏骤停救治体系的重要性。对于非专业施救者，指南强调识别心脏骤停征象、及时打急救电话并立即开始徒手CPR（心脏按压频率为100～120次／min）。对于急救医护人员，指南强调了给予高质量CPR的重要性：以足够的速率和深度（5～6cm）按压胸部，保证每次按压后胸廓充分回弹，尽可能减少按压中断，避免过度通气。该指南更新对我国临床工作者有很大的指导意义。The purpose of this review is to provide an overview of the new recommendations contained in the 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. This Guidelines Update underlines the importance of the out-of-hospital cardiac arrests survival. There is increased emphasis on the rapid identification of potential cardiac arrest by dispatchers and immediate activation of the emergency response system for untrained lay rescuer. Untrained rescuer should initiate CPR immediately. The trained rescuers should provide high-quality CPR： rescuers should perform the chest compressions at the rate of between 100/min and 120/min, to a depth of 5 to 6cm, to allow full chest wall recoil and to minimize interruptions in chest compressions. This Guidelines Update has a great clinical guiding significance for medical workers in China.

关 键 词：心肺复苏 胸外按压 院外心脏骤停 

分 类 号：R541[医药卫生—心血管疾病]