现场心肺复苏的有关新理论和操作技术的改进

New Theories and Operation Technic Innovation of CPR on the Spot

“国际心肺复苏（CPR）与心血管急救（ECC）指南2000”提供了最领先的复苏理论、研究方法和实际经验。这也导致了CPR技术的变革。本文从如下方面归纳和论述了国际上现场心肺复苏的有关新理论和操作技术的改进:1）复苏时血液循环的机制;2）对A、B、C、抡救程序的异议;3）人工呼吸的方法;4）心跳停止的判定;5）胸外按压的频率;6）仅胸外按压的现场心肺复苏;7）胸前叩击复律术和电除颤;8）咳嗽复律术。建议在公众中普及推广CPR时及时应用这些新的理论和操作技术,并对以往参加对CPR培训的人进行再培训,并要研究培训的最佳方法,以及再培训的间隔时间。

The International CPR and ECC Guidelines 2000 provided the most updated theories, research and experience that lead to reformation of the operation of CPR. We concluded and discussed the new theories and operation technic innovation of CPR on the spot in thisdarticle: 1. the mechanism of blood circulation when CPR is opera ting; 2. the dispute of A、B and C salvage procedure; 3. the methods of breathing; 4. the jrdgement of stop of heart;5. the frequency of chest compresions;6. the only chest compressions CPR;7. chest knock and AED;8. recovery of rhythm of the heart by cough. We should popularize these new theories and operation technic of CPR,and individuals who have previously been trained in CPR should be re- trained.