标准心肺复苏面临的窘境和对策.pdf

坚坐塞壹垫堡匡堂垫!垒生!旦筮!鲞箜!翅垦!i塑竖』塑里生丛望堡型笪丛!i塑些：!!!：!，些!：!，』!!!!型：垫!! ·专家论坛· 标准心肺复苏面临的窘境及对策 王立祥 【摘要】心肺复苏(Cardiopulmonary 生存出院率仍不理想。笔者认为当前主要问题为标准CPR存在的“局限性”、“缺陷性”及“片面性”问题，尤其是胸外按压与 人工通气比例不合理，导致通气血流比例失调，严重影响了复苏效果。故需要人们解放思想更新观念，紧跟现代医学的前沿 技术，立足临床CPR工作的实际需求，不断地开辟CPR新途径，完善和发掘CPR适宜技术与方法，进一步提高CPR患者的生 存率，可谓是我们急救医学及灾害救援医学工作者所面临的艰巨任务。 【关键词】 心搏骤停；心肺复苏；腹部提压法；医学救援 【中国图书分类号】 R459．7 TheDilemmasandCountermeasuresStandard Resuscitation Facing Cardiopulmonary Medical Disaster Chinese ArmedPolice WANG of Forces， Lixiang．EmergencyCenter，Instituteof Medicine，GeneralHospital People’5 100039，China Beijing with hasbeen and aneffectivefor heart resuscitation 【Abstract】Asway rescuingpatients arrest，eardiopulmonary explored usedformorethan50 rateiSstill authorbelievesthatthemain of unsatisfactory．The problem years，However．patients’survival the ratioofchest andventilationledto standardCPRiSitslimitations．flaws．and unreasonable one—sideness．Especially compression theimbalanceofair inblood．inturn affectedthesuccessofCPR．Hence．itwillbeadimculttaskfaceddoctors exchange seriously by in fieldof anddisastermedicineto followmodemmedi— the medicine that emergency emancipateminds，矗eshenupideas，closelyup eine newCPR whichbasedonclinical fuaher CPR rate． technology。developingapproaches needs，andraisingpatients’survival cardiac