摘要
2015年美国心脏协会对心肺复苏（CPR）和心血管急救指南进行了更新,本次更新对成年人和儿童基础生命支持、CPR的质量、CPR替代技术、急性冠脉综合征等内容提出了新的意见。本文重点阐述成年人和儿童基础生命支持、CPR的质量、CPR替代技术的更新要点。对成年人实施心肺复苏（CPR）时,胸外按压应达到100～120次/min,深度至少5 cm,但不应超过6 cm;医疗专业人员可以向所有心脏停搏患者实施胸外按压和通气;在使用高级气道的情况下,30个按压伴随2次通气已不再需要,取而代之的是持续的胸外按压伴随每6 s一次的通气;儿童胸外按压的深度至少要达到胸廓前后径的1/3,例如,婴儿胸外按压深度约4 cm,儿童需5 cm。
AHA updated guidelines for CPR and emergency cardiovascular care in 2015,and came up with new recommendation on adult and child basic life support, CPR quality, alternative CPR techniques, acute coronary syndromes.This summary practice guideline focused on adult and child basic life support and CPR quality, as well as alternative CPR techniques. In adult CPR,100 to 120 chest compressions per minute at a depth of at least 5 cm,but no greater than 6 cm,should be provided. Health care professionals can perform chest compressions and ventilation in all patients presenting with cardiac arrest. In patients with an advanced airway, one breath every six seconds should be given with continuous chest compressions instead of 30 compressions and two breaths. Compression depth in children should be one- third or more of anteriorposterior diameter,or about 4 cm in infants and 5 cm in children.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第20期2365-2366,共2页
Chinese General Practice
关键词
心肺复苏术
心脏停搏
成人
儿童
Cardiopulmonary resuscitation
Heart arrest
Adult
Child
