Cardio-Pulmonary Resuscitation |
心肺复苏 |
For those already familiar with CPR, a summary of recent changes is at the European Resuscitation Council website. |
针对熟悉心肺复苏的人,欧洲复苏协会网站发布了更新的摘要。 |
This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
这份摘要总结了一下几个方面的变化:基础成人复苏,自动除颤仪,高级成人复苏,高级儿童复苏; |
advanced adult is subdivided to order of CPR/defibrillation is |
高级成人心肺复苏/除颤细分为 |
a) defib first in professional witnessed arrest, |
a)专业人士目击的心脏骤停应首先除颤, |
b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
b)除颤方法为1次电击紧接2分钟的CPR至下一次电击, |
c) doubtful fine VF is not worth shocking delay of CPR, |
c)可疑的细小室颤,不应该因电击而延迟CPR, |
d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
d)对于可除颤患者,2次电击后给予1mg肾上腺素;非室颤/室速患者,每隔3-5分钟给予1mg肾上腺素 |
e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
e)室颤/室速患者,给予胺碘酮(负荷量300mg+/-150mg,900mg/24h)或利多卡因(最大量3mg/kg/hr) |
f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
f)肺栓塞/溶栓治疗的患者,CPR可延长至60-90分钟。 |
g) hypothermia to 32deg for 12-24 hours definitely for out of hospital VF/VT, and maybe for all others ( in hospital all, out of hospital non VF/VT). |
g)对于院外发生室颤/室速的心脏骤停患者,应行亚低温治疗(32摄氏度)12-24小时,也可用于其他心脏骤停患者(院内心脏骤停,院外非室颤/室速的心脏骤停)。 |
The principles might be: minimize circulation downtime ( a, b, |
心肺复苏的原则是:最大限度的减少循环停止的时间(a,b |
c), provide drugs better or earlier (d e |
c),更好或更早的使用药物(d,e |
f), more tenacity in rescue ( f and |
f),坚持不懈的抢救(f和 |
g) . |
g)。 |
ABC - airway , breathing , compression. |
ABC-气道,呼吸,胸外按压 |
This in general describes conceptual categories, but is also the sequence of management in CPR: airways first, breathing next, compression of the heart. |
这3个字母概述了心肺复苏的三个环节,也是心肺复苏的三个步骤:首先是开放气道,然后是人工呼吸和胸外按压。 |
The exception is when immediate defibrillation is available, AND equipment to diagnose ventricular tachyarrythmia or ventricular fibrillation is available. |
例外的情况是,如果除颤仪就在患者身边,且除颤仪能自动识别患者为室速或室颤,则应首先除颤。 |
Then the sequence is : observed unexpected collapse + known history suggests ventricular fibrillation: e.g. was complaining of chest discomfort -> attach equipment -> diagnose VF ( automatic or manual) -> attach defibrillation pads -> charge equipment to 200J (or wait automatic) -> warn bystanders -> defibrillate. |
接下来的步骤是:有目击者的心脏骤停+已知病史提示室颤:例如胸部不适-> 连接除颤仪-> 分析心律,识别室颤(自动或人工)-> 将电极片贴到病人的皮肤上-> 充电至200J(或等待自动充电完成)-> 确认周围没有人触碰患者-> 除颤 |
If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
手动除颤时,如果持续室颤,则连续3次电击除颤,再进行下一轮的CPR。 |
This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
以上根据一例成功的有目击者的心脏骤停心肺复苏总结。一位有经验的地方急诊专业护士对这名患者进行了施救。 |
It has some contrast to the recommended DRABCD sequence as per Guideline 7, February 2006, of the Australian Resuscitation Council, but is similar to the European Guidelines Summary of Changes 2005. |
它与澳大利亚复苏协会2006年2月指南7中推荐的DRABCD顺序有相违悖,但是与欧洲复苏指南2005年更新摘要中的内容相似。 |