摘要
自从美国 AHA 在1966年发布第一个心肺复苏指南以来,CPR 技术在全球成功抢救了成千上万的心脏骤停患者。经过50多年的发展,CPR 技术已经成为抢救心脏骤停和濒死患者的基本技术之一,对急诊急救产生重大的影响,特别是2000年 CPR 和 ECC 指南的发布:循证医学证据和全球专家的推荐意见成为临床治疗方案的有力支撑。因此,随着研究的进展,每5年更新的指南发布成为医学界关注要点。2015年10月 AHA 在《循环》杂志发布新的心肺复苏指南,新指南流程更加简化,提倡快速反应。将生存链划分为院内和院外,使救治机制更加灵活。确认了单人施救操作顺序,肯定高质量的 BLS 是 ACLS 的坚实基础,并且进一步强调 ACLS 团队合作的重要性。笔者结合2010年版心肺复苏指南基础上对2015年新指南进行比较分析,熟悉和掌握心肺复苏指南新变化,使医务人员更好地掌握 CPR 技术,更加科学、有效地抢救心脏骤停的患者,提高心肺复苏成功率。
Since the United States released the first AHA CPR guidelines in 1966 since,CPR tech-nology in the world successfully rescued tens of thousands of cardiac arrest patients.After 50 years of devel-opment,CPR technology has become one of the dying patient in cardiac arrest and basic rescue techniques, have a significant impact on emergency aid,particularly released in 2000 CPR and ECC guidelines:evi-dence based medicine and global experts The recommendations become a strong support for the clinical treat-ment regimen.Thus,with the progress of the study to update the guidelines every five years,the medical profession has become concerned about the release point.October 2015 AHA in 《Circulation》journal re-leased new CPR guidelines,the new guidelines more streamlined processes,promote rapid response.The chain of survival outside the hospital and into the hospital,so that treatment mechanism more flexible.Con-firmed the single rescue operation sequence,sure the high quality of the BLS is the solid foundation of ACLS,and further stressed the importance of ACLS team.The purpose of this combined edition 2010 CPR Guidelines 2015 on the basis of new guidelines for comparative analysis,familiar with and master the new CPR guidelines change,so that medical staff better grasp CPR techniques,more scientific and effective res-cue cardiac arrest patients,improve Cardiopulmonary resuscitation success rate.
出处
《中国医师杂志》
CAS
2016年第S1期226-229,共4页
Journal of Chinese Physician
基金
浙江省科技厅资助项目(2013T301-13);温州市科技局基金项目
关键词
心肺复苏指南
心脏骤停
生存链
胸外按压
流程
CPR guide
Cardiac arrest
Chain of survival
Chest-compressions
Process