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. |
已经熟悉心肺复苏(CPR)的人可于欧洲复苏委员会网站上查询最近的变化提要。 |
This summary summarizes changes under the categories : basic adult resusc, automated defibrillators, advanced adult , advanced paediatric ; |
本提要总结了以下类别的变化: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 |
将高级成人复苏细分为CPR/除颤顺序: |
a) defib first in professional witnessed arrest, |
a)在专业人士目击的心脏骤停成人中,首先进行除颤; |
b) defibrillation technique is one shock and CPR for 2 minutes before other shocks , |
b) 除颤技术是进行一次电击加心肺复苏2分钟,然后再进行电击。 |
c) doubtful fine VF is not worth shocking delay of CPR, |
c)可疑的细小室颤(VF)不应延迟CPR, |
d) adrenaline 1mg after 2nd shock or non VF/VT / rate is 3-5 minutely, |
d)第2次电击或非室颤/室速心率后给予肾上腺素1 mg,3-5分钟一次, |
e) vf/vt - amiodarone (load 300mg +/- 150mg, 900mg /24h) XOR lignocaine (max 3mg/kg/hr), |
e)室颤/室速—予以胺碘酮(负荷剂量300 mg +/-150 mg,900 mg/24h)或利多卡因(最大剂量3 mg/kg/h), |
f) PE/thrombolysis/prolonged CPR 60-90 minutes , |
f)肺栓塞(PE)/溶栓/CPR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)降低温度至32摄氏度,持续12-24小时,绝对适用于院外室颤/室速,或许也适用于所有其他情况(所有住院中的情况,院外非室颤/室速)。 |
The principles might be: minimize circulation downtime ( a, b, |
其原则可能是:尽量减少循环停止时间(a,b, |
c), provide drugs better or earlier (d e |
c),更好地或更早地提供药物治疗(d,e, |
f), more tenacity in rescue ( f and |
f),在救援中更加坚持(f 和 |
g) . |
g)。 |
ABC - airway , breathing , compression. |
ABC—气道、呼吸和按压。 |
This in general describes conceptual categories, but is also the sequence of management in CPR: airways first, breathing next, compression of the heart. |
这总体上描述了概念范畴,但这也是心肺复苏中的管理顺序:首先是气道,其次是呼吸,然后是心脏按压。 |
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,可以立即进行除颤,并且有诊断室性心动过速或室颤的设备。 |
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. |
那么此时顺序为:观察到意外昏倒 + 已知病史提示室颤:例如,主诉胸部不适-> 连接设备-> 诊断VF(自动或手动)->贴上除颤垫-> 将设备充电至200J(或自动等待)-> 警告旁观者-> 除颤。 |
If manual, defibrillate x 3 , before resuming normal CPR sequence if still in ventricular fibrillation. |
如果为手动操作,若仍存在室颤,进行3次除颤后再恢复正常CPR顺序。 |
This is taken from an observed successful resuscitation of a witnessed arrest , as applied by an experienced provincial emergency specialist nurse. |
这源自观察到的目击心脏骤停的成功复苏,由经验丰富的省级急诊专科护士应用。 |
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. |
它与澳大利亚复苏理事会2006年2月指南7推荐的DRABCD顺序有一定的反差,但与2005年欧洲指南变化提要相似。 |