腹部提压心肺复苏术  

Abdominal compression performed cardiopulmonary resuscitation

作　　者：王立祥 刘中民[2] WANG Lixiang;LIU Zhongmin(Department of Original Emergency,the Third Medical Center of Chinese PLA General Hospital,CPR Professional Committee of the Chinese Research Hospital Society,Beijing 100039,China;Dean,Institute of Disaster Medicine Engineering,Tongji University,the Cardiovascular Surgeons Branch of the Chinese Medical Doctor Association,Shanghai 100005,China)

机构地区：[1]中国人民解放军总医院第三医学中心原急诊科,中国研究型医院学会心肺复苏学专业委员会,北京100039 [2]同济大学灾难医学工程研究院院长,中国医师协会心血管外科医师分会,上海100005

出　　处：《中国研究型医院》2022年第3期71-76,共6页Chinese Research Hospitals

基　　金：全军医学科技“十二五”心肺复苏重点项目(BWS11J077);国家工信部和卫健委5G+心脏猝死防治救体系建设试点项目。

摘　　要：腹部提压心肺复苏术(AACD-CPR),是源于临床针对心脏骤停实施传统的胸外按压心肺复苏禁忌证的限制而产生。在实施传统的胸外按压心肺复苏过程中约30%~80%并发肋骨或胸骨骨折,骨软骨交界分离导致肺、胸膜及心脏损伤,从而限制了对传统胸外按压技术的实施,影响了心肺复苏的成功率,由此探索出“胸路不通走腹路”的新途径——AACD-CPR应运而生。AACD-CPR是针对心脏骤停患者,通过对腹部进行提拉与按压改变胸腹内外压力,发挥“腹泵”机制,进而建立人工循环与呼吸并重的心肺复苏之术。Abdominal active compression-decompression cardiopulmonary resuscitation(AACD-CPR) arose from the clinical limitations of contraindications to performing traditional chest compressional CPR for cardiac arrest. The implementation of traditional chest compressions during CPR is complicated by ribs or sternal fractures and osteochondral junctional separation resulting in lung, pleural and cardiac injury, thus limiting the implementation of traditional chest compressions and affecting the success rate of CPR, thus exploring the new way of "abdominal route if chest route is not available."-AACD-CPR was born. AACD-CPR is a cardiopulmonary resuscitation technique for patients in cardiac arrest, in which the pressure inside and outside the chest and abdomen is changed by lifting and compressions on the abdomen to bring into play the "abdominal pump" mechanism, thus establishing artificial circulation and respiration at the same time.

关 键 词：心脏停搏 心肺复苏术 腹部提压心肺复苏 胸部按压 腹泵机制 

分 类 号：R459.7[医药卫生—急诊医学]