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急诊早期开胸心肺复苏术18例分析 被引量:1

The analysis of 18 cases of open chest cardiopulmonary resuscitation at early period
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摘要 目的积极应用开胸心肺复苏术及必要时现场开胸心肺复苏术(OCCPR)对提高复苏成功率是有益的。方法气管插管控制通气,左前外侧第IV肋间进胸,膈神经前纵形切开心包,单手按压。结果2004年4月~2005年10月连续对18例停循环时间大于30分钟患者施行了OCCPR,9例复苏失败;9例恢复循环,其中6例住院死亡,3例完全康复。结论急诊OCCPR对于不宜或闭式复苏术无效的患者仍是一个效果肯定的复苏方法,尽早施行是成功的关键,在充分条件支持下现场I期OCCPR可大大提高胸心穿透开放伤抢救成功率。 Objective It is beneficial to increase resuscitation succeed rate by applying OCCPR activity at emergency treatment room or at local space if it is necessary. Methods Control ventilation by endotracheal intubation, open chest at IV intercostals external. Location, cut pericardial length ways before diaphragm nerve, compress the heart by 100. Results 18 cases of patients received OCCPR whose cardiac arrest time beyond 30 minutes at April 2004 to Oct 2005, 9 cases recovered circulation, 9 cases failed. Conclusion OCCPR in emergency department still is effective resuscitation method. The successful point is carrying out OCCPR as soon as possible. Local early period OCCPR could largely increase succeed rate of saving chest and heart perforation trauma under the support of enough conditions.
出处 《中国现代医药杂志》 2006年第4期20-21,共2页 Modern Medicine Journal of China
关键词 早期 开胸 心肺复苏术 Early period Open chest Cardiopulmonary resuscitation (CPR)
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  • 1王一镗.心肺复苏时积极正确地推行开胸复苏术[J].中国急救医学,1998,9(1):19.
  • 2[2]Pearlmen,RA.Ethicl issues in geriatric.In:Hazzard WR Eds.Principles of Geriatric Medicine and Gerontology.MCHiel,Inc.NewYork,1994:397-405

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