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
崔晓磊 1高恒波 1姚冬奇 1肖浩 1吕宝谱 1刘亮 1田英平1
作者信息
- 1. 河北医科大学第二医院急诊科(石家庄,050000)
- 折叠
摘要
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.
Abstract
The survival rate of patients with out-of-hospital cardiac arrest is low.For patients who cannot re-turn of spontaneous circulation or maintain autonomous heart rhythm through conventional cardiopulmonary re-suscitation,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.
关键词
体外膜肺氧合/院外心脏骤停/传统心肺复苏/体外心肺复苏Key words
extracorporeal membrane oxygenation/out-of-hospital cardiac arrest/conventional cardiopulmo-nary resuscitation/extracorporeal cardiopulmonary resuscitation引用本文复制引用
基金项目
2023年度河北省医学科学研究课题计划(20230074)
出版年
2024
NETL
NSTL
万方数据