2015年AHA心肺复苏及心血管急救指南更新解读 - 郑杨-.docVIP

292Chinese Journal of Practical Internal Medicine April 2016 Vol. 36 No. 4 2015年AHA心肺复苏及心血管急救指南更新解读 郑?杨,赵?巍 DOI:10.7504/nk2016030204　　中图分类号:R541　　文献标识码:A 摘要:文章总结并解读了《2015?AHA 心肺复苏及心血管急救指南更新》中的关键问题和部分内容变更。指南中强调了院外心脏骤停救治体系的重要性。对于非专业施救者,指南强调识别心脏骤停征象、及时打急救电话并立即开始徒手CPR(心脏按压频率为100~120次/min。对于急救医护人员,指南强调了给予高质量CPR 的重要性:以足够的速率和深度(5~6?cm按压胸部,保证每次按压后胸廓充分回弹,尽可能减少按压中断,避免过度通气。该指南更新对我国临床工作者有很大的指导意义。关键词:心肺复苏;胸外按压;院外心脏骤停 Interpretation of 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. ZHENG Yang, ZHAO Wei. The First Hospital of Jilin University, Changchun 130021, China Corresponding author: ZHENG Yang, E-mail: zhengyang@jlu.edu.cn Abstract: The purpose of this review is to provide an overview of the new recommendations contained in the 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. This Guidelines Update underlines the importance of the out-of-hospital cardiac arrests survival. There is increased emphasis on the rapid identification of potential cardiac arrest by dispatchers and immediate activation of the emergency response system for untrained lay rescuer. Untrained rescuer should initiate CPR immediately. The trained rescuers should provide high-quality CPR: rescuers should perform the chest compressions at the rate of between 100/min and 120/min, to a depth of 5 to 6cm, to allow full chest wall recoil and to minimize interruptions in chest compressions. This Guidelines Update has a great clinical guiding significance for medical workers in China.Keywords: cardiopulmonary resuscitation; chest compression; out-of-hospital cardiac arrest 指南与共识 作者单位:吉林大学第一医院,吉林 长春 130021电子信箱:zhengyang@jlu.edu.cn 郑杨,主任医师、教授、博士生导师。吉林大学第一医院心血管疾病诊治中心主任。兼任卫计委国家心血管病专家委员会委员、中国医师协会心血管内科医师分会常委、中华医学会心血管内科分会委员、中华医学会心血管内科分会胸痛中心认证委员会委员、中国 康复医学会心血管内科康复委员会常委、中国医师协会心血管内科医师分会预防与康复专业委员会副主任委员、中国医师协会危重病心脏重症专业委员会常委。 2015年10月15日,美国心脏病学会(AHA发布了《2015 AHA 心肺复苏及心血管急救指南更新》 (以下简称 《指南