对AHA心肺复苏指南2018中亚低温治疗的评述及建议

Review and recommendations for hypothermia in AHA international cardiopulmonary resuscitation guidelines 2018

2018月11月5日,美国心脏协会(AHA)发布了"国际心肺复苏(CPR)指南的更新版".指南更新版中并未对复苏后的治疗方案,尤其是诱导亚低温方面进行重大调整.本文结合国内外新的基础研究和临床研究资料以及国内CPR现状,评价复苏后治疗方案,尤其是亚低温治疗的进展,建议开通心搏骤停的院前与院内绿色通道,尽早开展以物理降温为主、血液降温为辅的体温目标管理,同时应该结合我国国情,开展更多包括中医药在内的复苏后综合抢救的临床研究.

An updated version of the international cardiopulmonary resuscitation(CPR)guidelines was released on November 5,2018 by the American Heart Association(AHA).The authors were concerned that in the updated instructions,no significant adjustments have been made to the treatment plan after resuscitation,especially the hypothermia induction.Combined with the new basic research and clinical research data at home and abroad and the current situation of CPR at home,the author evaluated the treatment plan after resuscitation,especially the progress of mild hypothermia treatment.Furthermore,it is recommended to open the green channel before and in hospital for cardiac arrest,carry out the temperature target management with physical cooling as the primary measure and blood cooling as the secondary measure as soon as possible,and carry out more clinical research on comprehensive rescue after resuscitation including traditional Chinese medicine in combination with China's national conditions.