| 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. |
对于那些熟悉心肺复苏的人来说，在欧洲复苏委员会的网站上可以找到最近指南变化的摘要。 |
| This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
该摘要文件概括了在成人基础生命支持，自动化除颤仪，成人高级生命支持，儿童高级生命支持方面的变化； |
| advanced adult is subdivided to order of CPR/defibrillation is |
成人高级生命支持的复苏/除颤步骤可进一步分为 |
| a) defib first in professional witnessed arrest, |
a) 在专业人员目击心脏骤停后首先进行除颤， |
| b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
b）除颤方式为电击一次，进行2分钟的心肺复苏后再进行电击， |
| c) doubtful fine VF is not worth shocking delay of CPR, |
c）可疑的细微室颤可以不用进行电击，以至造成心肺复苏的延迟， |
| d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
d）2次电击后,或者非室颤/室速/频率每分钟3-5次时，给予甲肾上腺素1mg， |
| e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
e）室颤/室速-胺碘酮 （每次300mg+/-150mg，24小时用量900mg）或者利多卡因 (最大剂量 3mg/公斤体重/小时)， |
| f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
f）肺栓塞/溶栓/延长心肺复苏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）院外室颤/室速时，将体温冷却到32度，维持12-24小时，其他情况下可考虑使用（院内室颤/室速，或者院外非室颤/室速） |
| The principles might be: minimize circulation downtime ( a, b, |
基本原则为：缩短循环停止时间（a，b， |
| c), provide drugs better or earlier (d e |
c），更好更及时的用药（d e |
| f), more tenacity in rescue ( f and |
f)，更加积极的救治（f和 |
| g) . |
g）。 |
| ABC - airway , breathing , compression. |
ABC-气道，呼吸，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. |
以上大体描述了概念上的分类，但也体现了心肺复苏管理的顺序：开放气道，人工呼吸，心脏按压。 |
| The exception is when immediate defibrillation is available, AND equipment to diagnose ventricular tachyarrythmia or ventricular fibrillation is available. |
以下情况可以例外：可以立即进行除颤，并且有诊断室速或室颤的设备可用。 |
| 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. |
在这种情况下的步骤是：观察到意外的跌坐+已知的室颤相关病史：例如主诉胸部不适->连接设备->诊断室颤（自动或人工）->连接电极->将设备调至200J（或者等待自动充电）->警告围观者->除颤。 |
| If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
如果是人工操作，如果患者一直处于室颤状态，需在进行一般的心肺复苏步骤前除颤3次。 |
| This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
这些是来自对一次成功的目击心脏骤停复苏的观察，由一名有经验的地方急救专业护士完成。 |
| 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. |
它可能与澳大利亚复苏委员会在2006年2月指南7中推荐的DRABCD顺序有矛盾之处，但是也与2005年的欧洲指南更新摘要相似。 |
