心肺复苏与心脏前负荷——高质量心肺复苏的再思考  

Preload in cardiopulmonary resuscitation-rethinking about high-quality CPR

作　　者：金魁 徐军 JIN Kui;XU Jun(Emergency Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730 China)

机构地区：[1]中国医学科学院北京协和医院北京协和医院急诊科

出　　处：《中国实用内科杂志》2019年第10期847-850,共4页Chinese Journal of Practical Internal Medicine

基　　金：中国医学科学院医学与健康科技创新工程项目(2017-12M-1-009)

摘　　要：心跳骤停是造成全球患者死亡的重要原因之一,虽然心肺复苏发病机制和救治措施的研究从未停止,但心肺复苏在过去的20年间其生存率未取得显著进展,全球的心肺复苏生存率仍仅有7%左右。过去的20年学者们充分认识到了按压质量在心肺复苏中的重要性。然而,心脏的前负荷对于心脏的射血非常重要,增加心脏前负荷能否增加心肺复苏时的心脏血流,仍然是我们需要进一步重视的问题。Cardiac arrest is one of the leading causes of death all over the world.Despite the progress in the researches of pathopgenesis and management of cardiopulmonary resuscitation,the survival rate of patients with cardiac arrest has remained disappointingly low over the past two decades with only about 7%.On the other hand,in the past decades researchs about CPR mainly focus on the quality of compression.It is largely unknown the relation of preload and flow during cardiac resuscitation,evidence to augment preload during CPR may be one of futher direction to improve the outcome of cardiac arrest patients.

关 键 词：心跳骤停 心肺复苏 前负荷 吸气阻力阀 

分 类 号：R459.7[医药卫生—急诊医学]