心肺复苏热点解读  

Analysis of current hot issues about cardiopulmonary resuscitation

作　　者：付阳阳[1] 朱华栋[1] FU Yangyang;ZHU Huadong(Department of Emergency Medicine,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,P.R.China)

机构地区：[1]中国医学科学院北京协和医院急诊科

出　　处：《华西医学》2019年第11期1207-1210,共4页West China Medical Journal

基　　金：北京市科技计划课题(Z181100001918004);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：心肺复苏(cardiopulmonary resuscitation,CPR)是心脏骤停的重要治疗手段,但是目前最佳的CPR策略仍不明确。随着临床医学证据的积累,CPR的相关推荐治疗建议在不断更新。该文回顾了近年来热点问题和相关进展,包括CPR的病理生理机制,如何实现高质量胸外按压,如何实现CPR质量监测,针对不同人群如何实现最佳复苏效果及抗心律失常药物的使用。Cardiopulmonary resuscitation(CPR) is a very important treatment after cardiac arrest. The optimal treatment strategy of CPR is uncertain. With the accumulation of clinical medical evidence, the CPR treatment recommendations have been changed. This article will review the current hot issues and progress, including the pathophysiological mechanisms of CPR, how to achieve high-quality chest compression, how to achieve CPR quality monitoring, how to achieve optimal CPR for different individuals and how to use antiarrhythmic drugs.

关 键 词：心脏骤停 心肺复苏 胸外按压 人工通气 抗心律失常药物 

分 类 号：R54[医药卫生—心血管疾病]