从胸外到经腹心肺复苏的研究进展

Progress from external cardiac massage to transabdominal cardiopulmonary resuscitation

传统胸外心脏按压技术探索应用50多年来,挽救了许多心脏骤停(cardiac arrest,CA)患者生命。同时部分患者也因胸径路心肺复苏(cardiopulmonary resuscitation,CPR)出现并发症,以致复苏失败。近年来,国内外学者努力探索腹径路CPR,以提高CPR成功率,并取得满意疗效。尤其针对不能施行胸外心脏按压病例,采用腹径路可复苏成功。笔者纵观CPR发展历程,对经腹CPR径路临床应用的新进展进行综述。

The traditional external cardiac massage rescued numerous life of cardiac arrest（CA） patients in the past 50 years. Due to its limitations and complications, the successful rate of cardiopulmonary resuscitation（CPR） still maintained a relatively low level. In recent years, more scholars at home and abroad began to apply the transabdominal CPR to enhance the successful rate of CPR, especially for those cases could not be carried out external cardiac massage. This paper reviewed the development process of CPR, and introduced clinical application and progress of transabdominal CPR.