大剂量肾上腺素用于心肺复苏的争议
摘要
肾上腺素用于心肺复苏(CPR)已有悠久的历史。常规剂量一般都采用美国心脏病协会推荐的对成人静注肾上腺素0.5～1.0 mg.每5min 1次,这即为标准剂量肾上腺素(SDE)。近10多年来根据对动物和人的研究结果,提出了大剂量肾上腺素(HDE,一般为0.2mg/kg)用于 CPR 的主张,但尚未取得一致意见。本文就近年来关于 HDE 用于 CPR 的争议加以综述。1 赞成使用 HDE 的依据1.1 增加心肌和脑血流 CPR
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