主动按压-减压与大剂量肾上腺素在心肺复苏中的应用

Application of active compression decompression and high dose adrenaline in cardiopulmonary resuscitation

目的 :探讨院前心肺复苏 (CPR)成功的因素。方法 :75 1例心跳呼吸骤停的患者随机分为两组 (A、B)。A组 376例徒手胸外心脏按压 ;B组 375例除按常规方式救治外 ,同时使用大剂量肾上腺素及主动按压 -减压心肺复苏术。结果 :A组自主循环功能恢复 4例 ,B组自主循环功能恢复 14例。结论 :大剂量肾上腺素及主动按压

Objective:To probe into the successful factors of cardiopulmonary resuscitation(CPR) before admission. Methods:Seven hundred and fifty one patients with cadiopulmonary arrest were randomly allocated to two groups. Group A ( n =376) received the external artificial cardiac compression. In addition to the routine CPR, group B( n =375) received high dose adrenaline and the active compression decompression in CPR(ACD CPR). Results:Four patients in group A and 14 patients in group B were resuscitated successfully. Conclusion:High dose adrenaline and ACD CPR may improve the resuscitation.