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快讯|葛均波院士在《柳叶刀》发文呼吁普及AEDs

2016-09-19 佚名 《门诊》杂志

导语:2016年9月17日,最新一期的《柳叶刀》发表了复旦大学泛血管医学研究院院长、复旦大学附属中山医院心研所所长葛均波院士的一篇文章,葛院士在文中对国内AED配置不足表示担忧及关注。文章指出,中国每年约有55万人发生心脏猝死,平均每天至少1000人。但其中不足1%的人可以成功获救,这个数字只有美国的1/3。在美国,AEDs使用非常广泛,而中国除个别机场外大部分公共场所没有配置AEDs。AEDs设

导语:2016年9月17日,最新一期的《柳叶刀》发表了复旦大学泛血管医学研究院院长、复旦大学附属中山医院心研所所长葛均波院士的一篇文章,葛院士在文中对国内AED配置不足表示担忧及关注。



文章指出,中国每年约有55万人发生心脏猝死,平均每天至少1000人。但其中不足1%的人可以成功获救,这个数字只有美国的1/3。在美国,AEDs使用非常广泛,而中国除个别机场外大部分公共场所没有配置AEDs。AEDs设施的安放以及相关CPR知识都需要进一步普及。

相关研究指出,如果加强AEDs和CPR的应用,每年可减少突发心原性猝死10万例。葛均波院士呼吁政府应该担负相应的责任,采取以下措施:1. 所有公共场所应通过立法配置AEDs。在美国AEDs十分常见,值得效仿。2. 民众和公共场所服务人员应学习使用AEDs并加强CPR培训。对心脏猝死而言,在发病初始的几分钟采取有效抢救措施最为关键。3. 让更多人意识到健康生活方式的重要性,了解预防心原性猝死的基本知识,尤其是压力巨大的都市年轻人。 

背景知识:

心脏性猝死(SCD)是指急性症状发作后1小时内发生的以意识突然丧失为特征的由心脏原因引起的自然死亡。其特点有三:死亡急骤、死亡出人意料、自然死亡或非暴力死亡。全球每年有1700万人因心血管疾病而死亡,SCD占25%左右。发生心脏猝死后应快速识别心脏猝死并呼叫120急救,即刻开始高质量的心肺复苏,并尽早实施电除颤。

自动体外除颤仪(AEDs),是一种便携式、易于操作,稍加培训既能熟练使用,专为现场急救设计的急救设备,打开后可以贴在患者的胸腹部,用电击激活心脏,做心肺复苏抢救。它别于传统除颤器,可以经内置电脑分析和确定发病者是否需要予以电除颤。除颤过程中,AEDs的语音提示和屏幕显示使操作更为简便易行。自动体外除颤器对多数人来说,只需几小时的培训便能操作。在欧美等发达国家,公共除颤项目早已普及,很多普通人都参加过基本培训并持有急救证书,但目前国内配置的AEDs尚不允许未受训练的非专业人员使用。

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    2017-01-26 张卫平

    拍打急救易如在家刮痧拔罐,人人一看就会,效果更佳。拍打肘窝内关处出痧,可自愈多种病痛,甚或自救互救多种急症:日常拍打能有效防治高血压、心脏病;胸闷不适时拍打可使急救“位点前移”,有效预防心梗猝死或中风;拍打急救也不受患者是否昏迷与平躺限制,远胜用心肺复苏和除颤器甚至送医急救,且无任何副作用。国内外用拍打急救无不见效的事例不胜枚举。例如,山西的刘凯军在爬山时用拍打救了突发心脏病倒地的急诊科医生段伟生。段医生对刘凯军感谢之余感叹:“我们西医离开医院什么也做不了。”柳州11岁的小学生钟颖玲拍打肘窝几分钟也救了突发胸痛呼吸困难的奶奶。

    0

  2. 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    2016-10-18 null

    很好的东西

    0

  3. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Mon Sep 19 13:11:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
    2016-09-27 童小孩

    学习了,很受益,谢谢分享,继续关注中!

    0

  4. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=014e108570, createdName=chenchuny, createdTime=Tue Sep 20 08:56:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011660, encodeId=c34e20116600a, content=<a href='/topic/show?id=3b482048db' target=_blank style='color:#2F92EE;'>#AEDs#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2048, encryptionId=3b482048db, topicName=AEDs)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d74253, createdName=wangtianj2007@, createdTime=Mon Dec 19 13:51:00 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130768, encodeId=66eb130e680b, content=葛院士好棒, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/8D3909D5A5C921861E53E1A7DF421854/100, createdBy=409a1950341, createdName=对就是刘大夫, createdTime=Mon Sep 19 13:34:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130766, encodeId=df37130e6698, content=葛院士可以,, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Mon Sep 19 13:24:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130765, encodeId=9f8e130e6599, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, 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    2016-09-21 makuansheng
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  6. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=014e108570, createdName=chenchuny, createdTime=Tue Sep 20 08:56:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011660, encodeId=c34e20116600a, content=<a href='/topic/show?id=3b482048db' target=_blank style='color:#2F92EE;'>#AEDs#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2048, encryptionId=3b482048db, topicName=AEDs)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d74253, createdName=wangtianj2007@, createdTime=Mon Dec 19 13:51:00 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130768, encodeId=66eb130e680b, content=葛院士好棒, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/8D3909D5A5C921861E53E1A7DF421854/100, createdBy=409a1950341, createdName=对就是刘大夫, createdTime=Mon Sep 19 13:34:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130766, encodeId=df37130e6698, content=葛院士可以,, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Mon Sep 19 13:24:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130765, encodeId=9f8e130e6599, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Mon Sep 19 13:11:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
    2016-09-20 chenchuny

    确实需要普及!

    0

  7. 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  8. 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authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/8D3909D5A5C921861E53E1A7DF421854/100, createdBy=409a1950341, createdName=对就是刘大夫, createdTime=Mon Sep 19 13:34:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130766, encodeId=df37130e6698, content=葛院士可以,, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4PNicOvbHfgIficrsEKztlD5yv1UnCFhnFmFU9yv1RHLflMRibWrppbsiccfMB8tT9HCkAr3zL2zVml/0, createdBy=89da1604922, createdName=䖝二, createdTime=Mon Sep 19 13:24:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130765, encodeId=9f8e130e6599, content=学习起来, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Mon Sep 19 13:11:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
    2016-09-19 对就是刘大夫

    葛院士好棒

    0

  9. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=014e108570, createdName=chenchuny, createdTime=Tue Sep 20 08:56:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011660, encodeId=c34e20116600a, content=<a href='/topic/show?id=3b482048db' target=_blank style='color:#2F92EE;'>#AEDs#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2048, encryptionId=3b482048db, topicName=AEDs)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d74253, createdName=wangtianj2007@, createdTime=Mon Dec 19 13:51:00 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130768, encodeId=66eb130e680b, content=葛院士好棒, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, 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    2016-09-19 䖝二

    葛院士可以,

    0

  10. 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    2016-09-19 Guoxj3234

    学习起来

    0

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