陆战伤心脏骤停心肺复苏专家共识  

Expert consensus on cardiopulmonary resuscitation in army combat trauma-induced cardiac arrest

作　　者：中国研究型医院学会心肺复苏学专业委员会 中国老年保健协会心肺复苏专业委员会 中国健康管理协会健康文化委员会 中国医师学会心血管外科医学分会 海峡两岸医学交流协会重症医学分会 北京医学会灾难医学与心肺复苏学分会 全军重症医学专业委员会心肺复苏学组 周飞虎[4] 刘中民[3] 王立祥[2] 胡婕[4] 刘辉[4] 刘亚华[5] Cardiopulmonary Resuscitation Medicine Committee of Chinese Research Hospital Association;Cardiopulmonary Resuscitation Medicine Committee of Chinese Aging Well Association;Heath Care Committee of Chinese Health Association;Chinese Association of Cardiovascular Surgeons;Critical Care Medicine Committee of Health Exchange and Cooperation Across the Taiwan Straits;Disaster Medicine and Cardiopulmonary Resuscitation Medicine Committee of Beijing Medical Association;Cardiopulmonary Resuscitation Medicine Group of Chinese PLA Critical Care Medicine Committee

机构地区：[1]不详 [2]解放军总医院第三医学中心原急诊科 [3]同济大学灾难医学工程研究院 [4]解放军总医院第一医学中心重症医学科 [5]解放军总医院第三医学中心急诊科

出　　处：《解放军医学杂志》2023年第4期367-373,共7页Medical Journal of Chinese People's Liberation Army

摘　　要：陆战伤引起的心脏骤停(CA)是创伤性心搏骤停的一种,与战术战伤救治(TCCC)密不可分,故其诊断及后期治疗策略须根据TCCC的不同阶段(即火线救护阶段、战术战区救护阶段及战术后送救护阶段)而因时、因地制宜。对于胸部外伤导致肺、胸膜及心脏损伤的患者,可考虑实施腹部提压心肺复苏术。此外,还应重视便携式超声在CA可逆病因筛查中的作用。Cardiac arrest(CA)induced by army combat trauma is a specific type of traumatic cardiac arrest.Since it is inextricably intertwined with tactical combat casualty care(TCCC),the diagnosis and therapeutic strategy is dependent on various stages,i.e.,care under fire/threat,tactical field care,and tactical evacuation care.In addition,active abdominal compressiondecompression cardiopulmonary resuscitation(AACD-CPR)should be considered among patients with lung,pleural and heart injury resulted from chest trauma.Moreover,portable ultrasound to identify reversible etiologies in CA should be highlighted.

关 键 词：陆战伤 心脏骤停 心肺复苏 战术战伤救治 

分 类 号：R541.78[医药卫生—心血管疾病]