心肺复苏术12课件.pptVIP

心肺复苏术Techniques of Cardiopulmanory Resucitation (CPR) 病人呼吸心跳停止时采取的一切抢救措施称心肺复苏 Rescue approach and treatment for the patients suffering respiratory or cardiac arrest. 复苏目的:恢复呼吸、循环及病人的神志 Aim : recovery of breath, circulation, consciousness 内容包括:评估判断，人工呼吸，电击除颤，胸外心脏按压,生命支持 Contents: assessments, artificial, ventilation, defibrillation, chest compression, life support 一系列的评估和干预的过程(a series of assessments and interventions) 评估与判断(assess and gauge) 意识:反应、瞳孔 Consciousness: response, pupil 呼吸: 胸廓及腹部运动、呼吸形式(濒死样呼吸) Respiration: movement of chest and abdomen, type of respiratory movement, (agonal respirations) 心脏搏动：心音、 脉搏、心电图 Heart beat : cardiac sound , pulse , ECG 心跳骤停有三种情形sudden cardiac arrest (SCA) 心室颤动 (ventricular fibrillation) 心室停顿(ventricular standstill) 心电机械分离 (electromechanical dissociation) 2000指南基本生命支持顺序The sequence of BLS in 2000 AHA Guideline 气道通畅技术Techniques for the establishment of airway 气道通畅技术Techniques for the establishment of airway 气道通畅技术Techniques for the establishment of airway 气道通畅技术Techniques for the establishment of airway 气道通畅技术Techniques for the establishment of airway 食管气管导管 Esophageal-Tracheal Combitube 喉罩气道 Laryngeal Mask Airway 气管内导管 Endotracheal Intubation 人工呼吸 Provide Rescue Breathing 人工呼吸 Provide Rescue Breathing 人工呼吸 Provide Rescue Breathing 人工呼吸 Provide Rescue Breathing 食管气管导管 Esophageal-Tracheal Combitube 喉罩气道 Laryngeal Mask Airway 气管内导管 Endotracheal Intubation 人工呼吸 Provide Rescue Breathing 先进行两次人工呼吸,每次人工呼吸时间超过1秒 。 潮气量500-600ml，有胸廓起伏,避免迅速而强力的人工呼吸。 有人工气道二人进行CPR，则没分钟通气8至10次,人工呼吸时,胸外按压不应停止。 没有人工气道,救助者复苏的每周期为30次按压和2次呼吸,在按压暂停进行人工呼吸,每次呼吸超过1秒。 Give 2 rescue breaths, each over 1 seco- nd. with tidal volume of 500 to600 mL to produce visible chest rise, avoid rapid or forceful breaths. When an advanced airway is in place during 2-person CPR, ventilate at a rate of 8 to 10 bpm, no pause in chest compressions for delivery of ventilations. withou