院外心脏骤停患者ECPR时按压形式及气道建立方式的探讨

Exploration of the compression form and airway establishment method during ECPR in patients with out-of-hospital cardiac arrest

院外心脏骤停患者的生存率低,对于传统心肺复苏不能恢复自主循环或者维持自主心律的患者可以通过建立体外膜肺氧合实施体外心肺复苏(extracorporeal cardiopulmonary resuscitation,ECPR)。在实施ECPR时不同实施方法的效果尚存在争议,是应用人工胸外按压还是机械按压,建立何种气道方式,是否进行气管插管,这些措施是否对患者的预后产生影响,本文就上述问题进行论述。

The survival rate of patients with out-of-hospital cardiac arrest is low.For patients who cannot return of spontaneous circulation or maintain autonomous heart rhythm through conventional cardiopulmonary resuscitation,extracorporeal cardiopulmonary resuscitation(ECPR)can be performed by establishing extracorporeal membrane oxygenation.There is still controversy over the effectiveness of different implementation methods in ECPR.This article will discuss whether to use manual chest compressions or mechanical chest compression,which airway method to establish,whether to perform endotracheal intubation,and whether these measures will affect the prognosis of patients.