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动图:胸外心脏按压时 患者体内发生了什么?

2015-07-22 医学信使 医学论坛网

  心肺复苏术,包括给患者胸外按压、人工呼吸、通气给氧,必要的时候进行心脏除颤,是处理心脏停搏急症必备技能。 徒手胸外心脏按压很关键。跪在病人任何一侧均可,先选择按压部位,是两乳头水平连接线的正中间。然后一手手掌根部放在两乳头连线中点,双手掌根同向重叠,十指相扣,掌心翘起,手指离开胸壁,双臂伸直,上半身前倾,以髋关节为支点,垂直向下、用力、有节奏地按压,注意按压深度至少5cm

 

心肺复苏术,包括给患者胸外按压、人工呼吸、通气给氧,必要的时候进行心脏除颤,是处理心脏停搏急症必备技能。

徒手胸外心脏按压很关键。跪在病人任何一侧均可,先选择按压部位,是两乳头水平连接线的正中间。然后一手手掌根部放在两乳头连线中点,双手掌根同向重叠,十指相扣,掌心翘起,手指离开胸壁,双臂伸直,上半身前倾,以髋关节为支点,垂直向下、用力、有节奏地按压,注意按压深度至少5cm,或使胸部厚度下陷三分之一。按压频率每分钟100-120次,按压与放松时间比例以1:1为恰当。

为什么胸外心脏按压需要“用力压,快速压”?用力快速压可使心脏能够充分排血和充分充盈。压力可根据患者体型大小等情况灵活掌握,按压时以可触到颈动脉搏动效果最为理想。

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    2016-02-03 lisa446
  2. [GetPortalCommentsPageByObjectIdResponse(id=1651251, encodeId=19fe16512513b, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Wed Feb 03 00:08:00 CST 2016, time=2016-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33454, encodeId=37963345456, content=直观, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ed101627734, createdName=Messichen1992, createdTime=Sat Jul 25 09:50:00 CST 2015, time=2015-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33404, encodeId=74e833404d4, content=直观, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c09d1605573, createdName=aa6081, createdTime=Fri Jul 24 12:06:00 CST 2015, time=2015-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33356, encodeId=cf7f333566b, content=动感, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf451627836, createdName=1dd81045m14(暂无匿称), createdTime=Thu Jul 23 03:49:00 CST 2015, time=2015-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33343, encodeId=0e45333432d, content=呼吸呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=126b110623, createdName=ndd99, createdTime=Thu Jul 23 00:33:00 CST 2015, time=2015-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33285, encodeId=32c53328587, content=经典图片, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=121e1622385, createdName=chenhui888, createdTime=Wed Jul 22 12:36:00 CST 2015, time=2015-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33280, encodeId=e327332802e, content=生动, beContent=null, objectType=article, channel=null, level=null, likeNumber=168, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200609/ef6a57dbe7f1489dad7446b7c5217858/d5e4fe65996c4446a029b0f5d056abb1.jpg, createdBy=6b011518214, createdName=午夜星河, createdTime=Wed Jul 22 12:26:00 CST 2015, time=2015-07-22, status=1, ipAttribution=)]
    2015-07-25 Messichen1992

    直观

    0

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    2015-07-24 aa6081

    直观

    0

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    2015-07-23 1dd81045m14(暂无匿称)

    动感

    0

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    2015-07-23 ndd99

    呼吸呢?

    0

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    2015-07-22 chenhui888

    经典图片

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1651251, encodeId=19fe16512513b, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Wed Feb 03 00:08:00 CST 2016, time=2016-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33454, encodeId=37963345456, content=直观, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ed101627734, createdName=Messichen1992, createdTime=Sat Jul 25 09:50:00 CST 2015, time=2015-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33404, encodeId=74e833404d4, content=直观, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c09d1605573, createdName=aa6081, createdTime=Fri Jul 24 12:06:00 CST 2015, time=2015-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33356, encodeId=cf7f333566b, content=动感, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cf451627836, createdName=1dd81045m14(暂无匿称), createdTime=Thu Jul 23 03:49:00 CST 2015, time=2015-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33343, encodeId=0e45333432d, content=呼吸呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=126b110623, createdName=ndd99, createdTime=Thu Jul 23 00:33:00 CST 2015, time=2015-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33285, encodeId=32c53328587, content=经典图片, beContent=null, objectType=article, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=121e1622385, createdName=chenhui888, createdTime=Wed Jul 22 12:36:00 CST 2015, time=2015-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=33280, encodeId=e327332802e, content=生动, beContent=null, objectType=article, channel=null, level=null, likeNumber=168, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200609/ef6a57dbe7f1489dad7446b7c5217858/d5e4fe65996c4446a029b0f5d056abb1.jpg, createdBy=6b011518214, createdName=午夜星河, createdTime=Wed Jul 22 12:26:00 CST 2015, time=2015-07-22, status=1, ipAttribution=)]
    2015-07-22 午夜星河

    生动

    0

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