院前心肺复苏的治疗进展(综述)

Pre-Hospital Cardiopulmonary Resuscitation Treatment Progress

CPR是指对心脏骤停所采取旨在恢复生命活动和智能的一系列及时、规范有效的抢救措施。尽管新的指南在循证医学基础上为院前心肺复苏提供了许多很好的方法和建议,但是院前心肺复苏的成功率仍然较低。本文综述了近年来院前心肺复苏的治疗进展情况,特别是在影响CPR抢救成功率的诸多因素中,心搏呼吸骤停的原因、发生地点及心搏停止的时间是被公认的重要因素。我们在院前必须要做到快速到达现场、快速诊断、快速心肺复苏,同时,还要针对基础原发病的积极治疗,才能真正提高院前心肺复苏的成功率。

CPR refers to cardiac arrest are aimed at restoring a range of life activities and smart and timely, standardized and effective rescue measures. Though the new guidelines on the basis of evidence-based medicine for the pre-hospital cardiopulmonary resuscitation, this paper provides a number of good methods and recommendations, but the pre-hospital cardiopulmonary resuscitation success rate is still low. This paper reviews recent treatment of pre-hospital cardiopulmonary resuscitation progress, especially in the many factors affecting the success rate of resuscitation CPR, the reasons for cardiac and respiratory arrest, the area of occurring and cardiac arrest time are recognized as important factors. We need to do pre-hospital quickly arrived at the scene, rapid diagnosis, rapid cardiopulmonary resuscitation, at the same time, for the basis of the original disease aggressive treatment in order to truly improve pre-hospital cardiopulmonary resuscitation success rate.