心肺复苏的氧疗策略:从气道建立到呼吸机支持  

Oxygen therapy strategy for cardiopulmonary resuscitation:from airway establishment to ventilator support

作　　者：李湘民[1] 叶锦杏 莫晓叶[1] LI Xiangmin;YE Jinxing;MO Xiaoye(Department of Emergency,Xiangya Hospital of Central South University,Changsha,421000,China)

机构地区：[1]中南大学湘雅医院急诊科,长沙421000

出　　处：《临床急诊杂志》2024年第11期553-560,共8页Journal of Clinical Emergency

基　　金：国家自然科学基金青年项目(No:82002010)。

摘　　要：心脏骤停致死率高、致残率高,是世界范围内严重威胁人民生命的公共卫生问题,心肺复苏的关键是保证器官氧供,及时恢复心脏自主功能。随着心肺复苏术教育知识的普及,胸外按压技术已被大众所了解,但是呼吸支持也十分重要,各种通气方式使用的优劣尚未得到明确,掌握正确和合理的复苏方法及氧疗策略,对提高心脏骤停患者的抢救成功率和改善预后有重要意义。本文现结合国内外有关文献,对目前心肺复苏中常用的气道建立方式和呼吸机支持技术进行总结和概述,以期对心脏骤停的救治和相关研究提供帮助。Cardiac arrest has a high mortality rate and disability rate,which is a serious public health problem that threatens people's lives worldwide.The key to cardiopulmonary resuscitation is to ensure organ oxygen supply and timely restoration of cardiac autonomic function.With the popularization of education on cardiopulmonary resuscitation,chest compressions have been widely understood by the public.However,respiratory support is also very important,and the advantages and disadvantages of various ventilation methods have not been clearly defined.Mastering correct and reasonable resuscitation methods and oxygen therapy strategies is of great significance for improving the success rate and prognosis of patients with cardiac arrest.This article summarizes and summarizes the commonly used airway establishment methods and ventilator support technologies in current cardiopulmonary resuscitation,based on relevant literature at home and abroad,in order to provide assistance for the treatment and related research of cardiac arrest.

关 键 词：心脏骤停 心肺复苏 呼吸支持 人工气道 氧疗 

分 类 号：R541.7[医药卫生—心血管疾病]