输出生理参数反馈指导下的心肺复苏  

Physiologic parameters feedback for directing the cardiopulmonary resuscitation

作　　者：王敏 周满红 Wang Min;Zhou Man-hong(Emergency Department,the Affiliated Hospital of Zunyi Medical University,Zunyi 563003,China)

机构地区：[1]遵义医科大学附属医院急诊科,贵州遵义563003 [2]遵义医科大学全科医学教研室,贵州遵义563003

出　　处：《中国急救医学》2020年第8期768-772,共5页Chinese Journal of Critical Care Medicine

基　　金：贵州省教育厅研究生教育创新计划项目[黔教合YJSCXJH[2018]092];贵州省教育厅自然科学研究项目,遵义医学院研究生工作站(GZZ2017006)。

摘　　要：标准化高质量心肺复苏(CPR)已被证明能够改善心脏骤停(CA)患者的最终结局,但新的证据显示,在CPR时如果将患者个体化的输出指标反过来用以指导CPR操作,则可以进一步改善患者预后.本文将探讨CPR期间对生理学输出指标的监测,包括侵入性血流动力学监测、呼气末二氧化碳分压(ETCO2)监测、局部脑组织氧饱和度(rSO2)测定、床旁超声检查等的意义,并将生理监测用于滴定性指导CPR操作,影响CPR结局,以期能够帮助人们以发展的眼光来看待CA期间输出指标监测对CPR本身的指导作用,从而进一步改善CA患者的最终结局.[Abstract]Although the standardized high-quality cardiopulmonary resuscitation(CPR)is turned out to be useful for the improvement of the final outcome of the victims with cardiac arrest(CA),the newer evidence suggests that a strategy incorporates the individual's physiologic parameters into the resuscitation may be able to further improve the prognosis of the victims.In the review,in order to help people know physiologic monitoring with a developing view and further improve the outcome of CA,we will explore the significance of physiologic monitoring during CPR,including invasive hemodynamic monitoring,detection of end-tidal carbon dioxide(ETCO2),regional brain tissue oxygen saturation(rSO2)measurement and bedside ultrasound examination,and physiological monitoring is used to guide the operation of CPR and affect the outcome of CPR.

关 键 词：心肺复苏(CPR) 心脏骤停(CA) 侵入性血流动力学监测 呼气末二氧化碳分压(ETCO2) 局部脑组织氧饱和度(rSO2) 床旁超声检查 经颅多普勒/经颅彩色多普勒(TCD/TCCD) 经食管超声心动图(TEE) 

分 类 号：R459.7[医药卫生—急诊医学]