外科学（总论）：复苏.pptVIP

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Etiologies of Cardiac Arrest Consider most frequent causes Hypovolemia Hypoxia Hydrogen ion-acidosis Hyper-/Hypokalemia, other metabolic Hypothemia Etiologies of Cardiac Arrest Consider most frequent causes ‘Tables’(Drug OD, accidents) Tamponnade, cardiac Tension pneumothorax Thrombosis, coronary Thrombosis, pulmonary (embolism) Diagnisis (Signs) of Cardiac Arrest Sudden deep unconsciousness Absent carotid and femoral pulse Ashen cyanosis Apnoea or gasping Dilated pupils Patterns of ECG of Cardiac Arrest Ventricular fibrillation (VF) Ventricular tachycardia with no cardiac output Asystole Electromechanical dissociation (EMD) Three stages of  Cardiopulmonary Cerebral Resuscitation Basic Life Support, BLS Advanced Cardiac Life Support, ACLS Prolonged Cardiac Life Support，PCLS Questions What are the most frequent causes of cardiac arrest? Diagnostic criteria for cardiac arrest? How many patterns of cardiac arrest ECG findings? How to manage cardiac arrest? 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 上海第二医科大学附属瑞金医院 麻醉科 地址:上海市瑞金二路197号(200025) Department of Anesthesiology RuiJin Hospital Shanghai Second Medical University Add: No.197 Rui Jin Road Shanghai(200025) Clinical Anaesthesiology（ Cardiopulmonary Cerebral Resuscitation ） 教学内容 复苏的概念 心跳骤停的原因 心跳骤停的诊断要点 复苏过程的三个阶段和处理原则 常用的抢救药物 Contents Etiologies of Cardiac Arrest Diagnosis of Cardiac Arrest Patterns of ECG of Cardiac Arrest Three stages of Cardiopulmonary Cerebral Resuscitation Drugs are used in ACLS 什么是心跳骤停？ Cardiac Arrest 指心脏本身的病变，或其他原因所导致的心脏有效搏动突然停止，血液循环中断，造成中枢神经系统和其他组织完全缺氧的状态 什么是心肺脑复苏？ 使心跳、呼吸骤停的病人迅速恢复循环、呼吸和脑功能所采取的抢救措施，称为心肺脑复苏 Cardiopulmonary Cerebral Resuscitation Etiologies of Cardiac Arrest Consider most frequent causes Hypovolemia Hypoxia Hydrogen ion-acidosis Hyper-/Hypokalemia, other metabolic Hypothemia Etiologies of Cardiac Arrest Consider