创伤性心搏骤停患者心肺复苏的研究进展  

Research progress of cardiopulmonary resuscitation in patients with traumatic cardiac arrest

作　　者：孙慧 杜贤进(审校)[1] SUN Hui;DU Xianjin

机构地区：[1]武汉大学人民医院重症医学科,武汉430060

出　　处：《临床急诊杂志》2020年第9期752-757,共6页Journal of Clinical Emergency

基　　金：国家自然科学基金青年项目(No:81601670)。

摘　　要：创伤是造成45岁以下人群死亡的首要原因,可导致约10%的病死率和16%的致残率[1],创伤患者早期死亡的最主要原因是创伤性心搏骤停(traumatic cardiac arrest,TCA),指患者在外部暴力下造成重要脏器(脑、心脏、肺脏等)的机械性损伤、创伤性缺氧及严重失血而导致的心搏骤停[2]。More than 5 million people die from trauma worldwide each year,accounting for about 9%of the total deaths.Providing timely and appropriate cardiopulmonary resuscitation to patients with traumatic cardiac arrest at an early stage may have a profound impact on the final result.This article reviews the research progress of epidemiological characteristics of traumatic cardiac arrest,controversy of active resuscitation,etiology,resuscitation methods,prognosis and influencing factors,emphasizing effective therapeutic intervention at an early stage to improve survival rate and prognosis of patients.

关 键 词：创伤 心搏骤停 心肺复苏 

分 类 号：R641[医药卫生—外科学]