单纯腹部提压：一种心肺复苏的新方法

A new method of cardiopulmonary resuscitation executed by rhythmic abdominal lifting and compression

背景与目的心搏骤停时，传统的胸外按压心肺复苏（CPR）方法容易使1／3被救者发生肋骨骨折，不能保证CPR时进行标准力度和幅度的胸外按压，且此时胸廓复张受限，均使心泵和胸泵机制不能得到理想发挥，从而影响了复苏效果。近年来受到关注的腹部按压CPR方法只能使膈肌自然回至原位，不能最大限度地增加膈肌移动幅度，难以保证有效的循环和呼吸。为此，我们发明设计一种新的CPR装置，即腹部提压CPR装置。方法腹部提压CPR装置通过吸盘吸附于腹部，利用相连的手柄有节律地提拉和按压进行CPR。结果该方法在避免肋骨骨折等并发症发生的同时，充分利用了“心泵”和“胸泵”的作用，同时又能起到一定的通气作用。结论腹部提压CPR装置是迄今为止CPR方法的一次重大创新，将可能成为主流的CPR方法。

Background and Objective When cardiac arrest occurs, in about 1/3 patients may suffer from fracture of ribs as a result of the traditional method of cardiopulmonary resuscitation （CPR） with strong compression of the chest wall. Consequently, there would be a marked decrease in amplitude of chest compression and expansion, thus reducing the effect of CPR. Rhythmic abdominal compression, which is a new mothod recently recognized to be effective for CPR, only allows the diaphragm to fall back to its original position, therefore the extent of its movement is not enough to affect lung expansion. Thus, the maneuver could not restore effective heart beat and respiration. We have invented a new equipment which is called abdominal lifting and compression equipment for CPR. Methods The new equipment for CPR consists a sucking device to attach on the abdominal wall, and with a handle, the abdominal wall can be lifted and compressed rhymically to produce the effect of CPR. Results The method readily got rid of the defects of the conventional CPR such as the risk of rib fracture, and made full use of ＂heart-pump and thoracic-pump effects＂, and at the same time it improved the ventilation. Conclusion The abdominal lifting and compression equipment for CPR is an innovation of conventional CPR method, and may beems a mainstream method of CPR.