小儿心跳骤停与复苏（Cardiac arrest and resuscitation in children）.docVIP

小儿心跳骤停与复苏（Cardiac arrest and resuscitation in children） Cardiac arrest and resuscitation in children Cardiac arrest and resuscitation in children I. basic life support for children (PBLS) (1) sudden cardiac arrest in children; Many factors can cause childrens respiratory and cardiac arrest, including the central nervous system disease; ventilation oxygen, spinal cord and nerve muscle disease, airway obstruction, pneumonia and other diseases caused by the disorder; the shock infection, blood loss, cardiac insufficiency caused by the serious; electrolyte and acid-base balance disorders and drugs; or food poisoning and allergic reactions; the congenital heart disease, myocardial disease, primary cardiac disorders such as cardiac diseases; the operation and treatment of operation and anesthesia accident; the electric shock, lightning; the baby death syndrome. (two) recovery process 1. check the reaction Children should be conscious of the presence or absence of trauma and its range. Look at the level of response by patting and calling children. For children with head and neck trauma, do not move or move so as not to aggravate spinal cord injury. If the child is unresponsive and has no breathing, start the CPR immediately and start the EMS system by telephone. 2. airway management In children due to respiratory arrest and hypoxemia can cause rapid deterioration in cardiac arrest, the airway is the first element of effective cardiopulmonary resuscitation, only the airway to ensure effective inhalation of oxygen and carbon dioxide. Therefore, it is important to ensure the airway patency of children. Children in the unconscious, tongue retropulsion were the most frequent causes of airway obstruction. Therefore, once found the loss of consciousness of children, children should be immediately supine on the hard plane such as desktop, floor, ground, and adopt appropriate methods to root left posterior pharyngeal wall, maintain airway patency. For loss of consciousness but no t