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成人心肺复苏新指南解读 被引量:11

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摘要 新近对67项研究分析表明,院外心脏骤停(out-of-hospital cardiac arrest,OHCA)的治疗率和存活出院率在世界不同的区域存在巨大的差异,院外心脏骤停的治疗率在北美洲最高(54.6%),其次为大洋洲(44.0%)和欧洲(35.0%),亚洲最低(28.3%);其中心室颤动(室颤)所占百分比及存活出院率则大洋洲最高(39.8%、10.7%),其次为欧洲(35.2%、9.4%)和北美洲(28.1%、6.3%),亚洲最低(11.2%、2.2%)[1];平均存活出院率仅为7.8%.高质量心肺复苏是心肺复苏成功的基石,为了提高心肺复苏的质量,美国心脏协会(AHA)[2]和欧洲复苏理事会(ERC)[3]最近分别对各自2005年心肺复苏指南进行了更新,现主要介绍更新部分及两个指南的不同之处.
作者 张永珍 高炜
出处 《中华内科杂志》 CAS CSCD 北大核心 2011年第8期628-629,共2页 Chinese Journal of Internal Medicine
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参考文献13

  • 1Berdowski J, Berg RA, Tijssen JG, et al. Global incidences of out-of-hospital cardiac arrest and survival rates : Systematic review of 67 prospective studies. Resuscitation,2010,81:1479-1487. 被引量:1
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二级参考文献23

  • 1Rea TD, Pearce RM, Raghunathan TE, et al. Incidence of out-of-hospital cardiac arrest. Am J Cardiol, 2004,93:1455-1460. 被引量:1
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  • 7Vilke GM, Chan TC, Dunford JV, et al. The three-phase model of cardiac arrest as applied to ventricular fibrillation in a large, urban emergency medical services system. Resuscitation, 2005,64:341-346. 被引量:1
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  • 10Walcott GP, Melnick SB, Chapman FW, et al. Relative efficacy of monophasic and biphasic waveforms for transthoracic defibrillation after short and long durations of ventricular fibrillation. Circulation, 1998,98:2210-2215. 被引量:1

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