腹部提压心肺复苏术

Abdominal compression performed cardiopulmonary resuscitation

腹部提压心肺复苏术(AACD-CPR),是源于临床针对心脏骤停实施传统的胸外按压心肺复苏禁忌证的限制而产生。在实施传统的胸外按压心肺复苏过程中约30%~80%并发肋骨或胸骨骨折,骨软骨交界分离导致肺、胸膜及心脏损伤,从而限制了对传统胸外按压技术的实施,影响了心肺复苏的成功率,由此探索出“胸路不通走腹路”的新途径——AACD-CPR应运而生。AACD-CPR是针对心脏骤停患者,通过对腹部进行提拉与按压改变胸腹内外压力,发挥“腹泵”机制,进而建立人工循环与呼吸并重的心肺复苏之术。

Abdominal active compression-decompression cardiopulmonary resuscitation(AACD-CPR) arose from the clinical limitations of contraindications to performing traditional chest compressional CPR for cardiac arrest. The implementation of traditional chest compressions during CPR is complicated by ribs or sternal fractures and osteochondral junctional separation resulting in lung, pleural and cardiac injury, thus limiting the implementation of traditional chest compressions and affecting the success rate of CPR, thus exploring the new way of "abdominal route if chest route is not available."-AACD-CPR was born. AACD-CPR is a cardiopulmonary resuscitation technique for patients in cardiac arrest, in which the pressure inside and outside the chest and abdomen is changed by lifting and compressions on the abdomen to bring into play the "abdominal pump" mechanism, thus establishing artificial circulation and respiration at the same time.