| Cardio-Pulmonary Resuscitation |
心肺复苏 |
| For those already familiar with CPR, a summary of recent changes is at the European Resuscitation Council website. |
针对熟悉心肺复苏的人，欧洲复苏协会网站发布了更新的摘要。 |
| This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
这份摘要总结了一下几个方面的变化：基础成人复苏，自动除颤仪，高级成人复苏，高级儿童复苏； |
| advanced adult is subdivided to order of CPR/defibrillation is |
高级成人心肺复苏/除颤细分为 |
| a) defib first in professional witnessed arrest, |
a）专业人士目击的心脏骤停应首先除颤， |
| b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
b）除颤方法为1次电击紧接2分钟的CPR至下一次电击， |
| c) doubtful fine VF is not worth shocking delay of CPR, |
c）可疑的细小室颤，不应该因电击而延迟CPR， |
| d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
d）对于可除颤患者，2次电击后给予1mg肾上腺素；非室颤/室速患者，每隔3-5分钟给予1mg肾上腺素 |
| e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
e）室颤/室速患者，给予胺碘酮（负荷量300mg+/-150mg，900mg/24h）或利多卡因（最大量3mg/kg/hr） |
| f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
f）肺栓塞/溶栓治疗的患者，CPR可延长至60-90分钟。 |
| g) hypothermia to 32deg for 12-24 hours definitely for out of hospital VF/VT, and maybe for all others ( in hospital all, out of hospital non VF/VT). |
g）对于院外发生室颤/室速的心脏骤停患者，应行亚低温治疗（32摄氏度）12-24小时，也可用于其他心脏骤停患者（院内心脏骤停，院外非室颤/室速的心脏骤停）。 |
| The principles might be: minimize circulation downtime ( a, b, |
心肺复苏的原则是：最大限度的减少循环停止的时间（a，b |
| c), provide drugs better or earlier (d e |
c），更好或更早的使用药物（d，e |
| f), more tenacity in rescue ( f and |
f），坚持不懈的抢救（f和 |
| g) . |
g）。 |
| ABC - airway , breathing , compression. |
ABC-气道，呼吸，胸外按压 |
| This in general describes conceptual categories, but is also the sequence of management in CPR: airways first, breathing next, compression of the heart. |
这3个字母概述了心肺复苏的三个环节，也是心肺复苏的三个步骤：首先是开放气道，然后是人工呼吸和胸外按压。 |
| The exception is when immediate defibrillation is available, AND equipment to diagnose ventricular tachyarrythmia or ventricular fibrillation is available. |
例外的情况是，如果除颤仪就在患者身边，且除颤仪能自动识别患者为室速或室颤，则应首先除颤。 |
| Then the sequence is : observed unexpected collapse + known history suggests ventricular fibrillation: e.g. was complaining of chest discomfort -> attach equipment -> diagnose VF ( automatic or manual) -> attach defibrillation pads -> charge equipment to 200J (or wait automatic) -> warn bystanders -> defibrillate. |
接下来的步骤是：有目击者的心脏骤停+已知病史提示室颤：例如胸部不适-> 连接除颤仪-> 分析心律，识别室颤（自动或人工）-> 将电极片贴到病人的皮肤上-> 充电至200J（或等待自动充电完成）-> 确认周围没有人触碰患者-> 除颤 |
| If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
手动除颤时，如果持续室颤，则连续3次电击除颤，再进行下一轮的CPR。 |
| This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
以上根据一例成功的有目击者的心脏骤停心肺复苏总结。一位有经验的地方急诊专业护士对这名患者进行了施救。 |
| It has some contrast to the recommended DRABCD sequence as per Guideline 7, February 2006, of the Australian Resuscitation Council, but is similar to the European Guidelines Summary of Changes 2005. |
它与澳大利亚复苏协会2006年2月指南7中推荐的DRABCD顺序有相违悖，但是与欧洲复苏指南2005年更新摘要中的内容相似。 |
