2005国际心肺复苏指南在院外急救中的应用

The application of 200S international CPR guidelines in pre-hospital emergency medicine

目的总结2005国际心肺复苏指南在院外急救中的应用体会。方法遵循2005国际心肺复苏指南标准的要求，对21例院外心肺复苏的患者分别经开放气道、呼吸支持、持续胸外按压、电击除颤、复苏药物的应用等治疗抢救。结果21例院外心肺复苏患者，经现场复苏至送达医院急诊科时出现自主呼吸、自主心率者2例（9．52％），无自主呼吸，出现自主心率者6例（28．57％），无自主呼吸、无主心率者11例（52．39％），现场复苏无自主呼吸、心率家属放弃送医院者2例（9．52％）。结论按照2005国际心肺复苏指南标准的要求，普及急救常识，建立健全急救医疗服务系统（EMSS）的建设，加强院外急救技术现场应用的熟练程度，可以提高院外心肺复苏的成功率。为院内的心肺复苏，特别是促进脑复苏打下坚实的基础，可以明显改善及提高患者的预后。

Objective Summarize the practical experience of 2005 CPR Guidelines in pre-hospital emergency medicine. Methods By complying with the requirement/standard of 2005 CPR guidelines, the following prehospital emergency treatments were applied on those 21 patients with cardiopulmonary problem - opening up the airway, pressing the outer chest constantly for breathing support defibrillation, combining with application of recovery drug. Results Among the 21 patients in the on-site CPR treatment who were transferred into hospital at emergency room, there are two of them （9.52%） with spontaneous breathing and spontaneous heart rate; six （28.57%） with no spontaneous breathing but spontaneous heart rate; eleven （52.39%） with no spontaneous breathing nor heart rate; two＇of them （9.5.2%） with no spontaneous breathing nor heart rate on-site whose families gave up for any further treatment. Conclusion Following 2005 international CPR guidelines; popularize the basic knowledge of first aid, improve the emergency medical services （EMS） system, as well as the on-site medical technical application in order to maximize the CPR success on pre-hospital stage. Furthermore, it also increases the chance of success of the in-hospital cardio-pulmonary resuscitation and brain recovery treatments, and improve patients＂ prognosis.