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《2016中国心肺复苏专家共识》出台,普通人仅需知道五步

2017-02-13 杨进刚 中国循环杂志

近日,指导我国心脏停搏综合防治体系构建和心肺复苏(CPR)临床实践的行动指南——《2016中国心肺复苏专家共识》(以下简称《共识》)正式出炉。该《共识》由中国研究型医院学会心肺复苏学专业委员会汇集国内CPR领域专家,基于国际CPR指南的科学共识,结合我国国情和具体实践,涵盖了心脏停搏前期的“预防、预识、预警”的“三预”方针、心脏停搏中期的“标准化、多元化、个体化”的“三化”方法与心脏停搏后期“复生


近日,指导我国心脏停搏综合防治体系构建和心肺复苏(CPR)临床实践的行动指南——《2016中国心肺复苏专家共识》(以下简称《共识》)正式出炉。

该《共识》由中国研究型医院学会心肺复苏学专业委员会汇集国内CPR领域专家,基于国际CPR指南的科学共识,结合我国国情和具体实践,涵盖了心脏停搏前期的“预防、预识、预警”的“三预”方针、心脏停搏中期的“标准化、多元化、个体化”的“三化”方法与心脏停搏后期“复生、超生、延生”的“三生”方略,将于近日由《中华危重病急救医学》颁布。

对于公众来说,心肺复苏有以下几个步骤:

1、当患者突然倒地,请大声呼唤,判断是否有意识丧失;

2、观察10秒患者胸部有没有起伏、颈动脉是否搏动,判断是否还有呼吸;

3、如果没有呼吸,应立即呼叫120;

4、施行胸外按压,进行心肺复苏;

(1)部位:部位两乳头连线的中点——胸骨下段。

(2)手法:以掌跟按压,两手手指扣在一起,跷起离开胸壁手指基本与肋骨平行。

(3)用力方向:手肘固定、手臂伸直、肩膀位于手掌上方、按压力量直接作用于胸骨上。

(4)按压频率:100-120次/分钟,深度≥5厘米。

注意:没有呼吸且不能判断心跳是否停止时,马上按压;快速压,用力压;按压后保证胸骨完全回弹;避免冲击式按压;抢救床过软可于患者背部垫硬木板。


5、人工呼吸,每30次按压后2次人工呼吸,此为一组,5组为一个循环直到医护人员到达。对于没有接受过心肺复苏专业培训的普通人,可不要求人工呼吸。

人工呼吸时要检查口腔内有没有异物,然后开始。要口对口呼吸,2次吹气,每次1秒钟,吹气后继续按压心脏。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=198381, encodeId=6b2d19838133, content=对于普及CPR很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5WdRCZb0Hs1YiaOB88m23a0oYulDm9Z0Es2N8rk8dmG1tkgXOibgBGBTMpwlof4aic6HdrIeR2zF09okwsgRbedK0/0, createdBy=72f41927023, createdName=Johnson_zhangdr, createdTime=Mon May 15 13:43:28 CST 2017, time=2017-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844704, encodeId=f3ad1844e04f6, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu May 18 11:26:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185442, encodeId=072a18544228, content=学习了,谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2SEXGDldsNfP4rKvY7vJmaHcyvLXicuyaCTJtVOkX3jvd6DwNMD88hDjJwsU7MnUH6zeqC4zt3yGV/0, createdBy=4e701628585, createdName=flyingzyx, createdTime=Thu Apr 06 05:26:21 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684441, encodeId=597916844417c, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Fri May 26 08:26:00 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=177158, encodeId=67421e715857, content=非常的有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Feb 20 21:15:08 CST 2017, time=2017-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305395, encodeId=b256130539596, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Wed Feb 15 05:26:00 CST 2017, time=2017-02-15, status=1, ipAttribution=)]
    2017-05-15 Johnson_zhangdr

    对于普及CPR很有用

    0

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  3. [GetPortalCommentsPageByObjectIdResponse(id=198381, encodeId=6b2d19838133, content=对于普及CPR很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5WdRCZb0Hs1YiaOB88m23a0oYulDm9Z0Es2N8rk8dmG1tkgXOibgBGBTMpwlof4aic6HdrIeR2zF09okwsgRbedK0/0, createdBy=72f41927023, createdName=Johnson_zhangdr, createdTime=Mon May 15 13:43:28 CST 2017, time=2017-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844704, encodeId=f3ad1844e04f6, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu May 18 11:26:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185442, encodeId=072a18544228, content=学习了,谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2SEXGDldsNfP4rKvY7vJmaHcyvLXicuyaCTJtVOkX3jvd6DwNMD88hDjJwsU7MnUH6zeqC4zt3yGV/0, createdBy=4e701628585, createdName=flyingzyx, createdTime=Thu Apr 06 05:26:21 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684441, encodeId=597916844417c, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Fri May 26 08:26:00 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=177158, encodeId=67421e715857, content=非常的有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Feb 20 21:15:08 CST 2017, time=2017-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305395, encodeId=b256130539596, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Wed Feb 15 05:26:00 CST 2017, time=2017-02-15, status=1, ipAttribution=)]
    2017-04-06 flyingzyx

    学习了,谢谢。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=198381, encodeId=6b2d19838133, content=对于普及CPR很有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5WdRCZb0Hs1YiaOB88m23a0oYulDm9Z0Es2N8rk8dmG1tkgXOibgBGBTMpwlof4aic6HdrIeR2zF09okwsgRbedK0/0, createdBy=72f41927023, createdName=Johnson_zhangdr, createdTime=Mon May 15 13:43:28 CST 2017, time=2017-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1844704, encodeId=f3ad1844e04f6, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Thu May 18 11:26:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185442, encodeId=072a18544228, content=学习了,谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2SEXGDldsNfP4rKvY7vJmaHcyvLXicuyaCTJtVOkX3jvd6DwNMD88hDjJwsU7MnUH6zeqC4zt3yGV/0, createdBy=4e701628585, createdName=flyingzyx, createdTime=Thu Apr 06 05:26:21 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684441, encodeId=597916844417c, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51337, encryptionId=dfae5133e1d, topicName=心肺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8e128082444, createdName=aids222, createdTime=Fri May 26 08:26:00 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=177158, encodeId=67421e715857, content=非常的有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Feb 20 21:15:08 CST 2017, time=2017-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305395, encodeId=b256130539596, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42724, encryptionId=270342e249d, topicName=复苏)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d01326, createdName=lizhou0204, createdTime=Wed Feb 15 05:26:00 CST 2017, time=2017-02-15, status=1, ipAttribution=)]
    2017-05-26 aids222
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    2017-02-20 飛歌

    非常的有用

    0

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    2017-02-15 lizhou0204

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