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精品指南:2015美国心脏学会心肺复苏与心血管急救指南更新版及解读

2017-05-09 MedSci MedSci原创

美国心脏协会(American Heart Association,AHA)于2015年10月15日发表了《2015 AHA心肺复苏及心血管急救指南更新》。在基础生命支持(basic life support,BLS)方面,主要重申高质量心肺复苏及复苏顺序的重要性;并优化了胸外按压的速度及深度。在高级心脏生命支持(advanced cardiac life support,ACLS)方面,保留了大


美国心脏协会(American Heart Association,AHA)于2015年10月15日发表了《2015 AHA心肺复苏及心血管急救指南更新》。在基础生命支持(basic life support,BLS)方面,主要重申高质量心肺复苏及复苏顺序的重要性;并优化了胸外按压的速度及深度。在高级心脏生命支持(advanced cardiac life support,ACLS)方面,保留了大部份常用的急救药物。但在某些可逆转性的患者中,建议按情况采用体外循环心肺复苏(extracorporeal cardiopulmonary resuscitation,ECPR)进行急救,即应用体外膜氧合(extracorporeal membraneous oxygenation,ECMO) 技术去维持患者生命。对于复苏后预后不佳的患者,应评估和考虑此类患者能否成为器官捐赠者。梅斯小编整理了该指南的更新版、中文版及解读,供大家参考!
一、2015年美国心脏学会心肺复苏与心血管急救指南(更新版)(英文版)
2015年10月,美国心脏协会(AHA)在官方网站及杂志(Circulation)上公布了《2015心肺复苏指南(CPR)和心血管急救(ECC)指南更新》。本次更新共包括执行摘要、证据评价与利益冲突管理、伦理学问题、急救系统和持续质量改进、成人基础生命支持和心肺复苏质量(非专业施救者心肺复苏)、成人基础生命支持和心肺复苏质量(医护人员BLS)、成人高级心血管生命支持、儿童高级生命支持等15部分文件。AHA官网还提供了包括中文在内的十余种语言的指南摘要文件。
二、2015年美国心脏学会心肺复苏与心血管急救指南更新摘要(中文版)
《2015心肺复苏指南(CPR)和心血管急救(ECC)指南更新》共包括执行摘要、证据评价与利益冲突管理、伦理学问题、急救系统和持续质量改进、成人基础生命支持和心肺复苏质量(非专业施救者心肺复苏)、成人基础生命支持和心肺复苏质量(医护人员BLS)、成人高级心血管生命支持、儿童高级生命支持等15部分文件。AHA官网还提供了包括中文在内的十余种语言的指南摘要文件。 三、2015美国心脏协会心肺复苏及心血管急救指南核心更改解读
《2015美国心脏协会心肺复苏及心血管急救指南更新》主要更新点涉及多个方面的内容, 包括新增院内成人生存链、修改成人基础生命支持流程、优化了胸外按压的速率及深度、简化复苏药物的使用等方面。作者就最主要的更新点进行解读。北京海军总医院急诊科 刘树元 单毅 林朱森 辛天宇 四、《2015美国心脏学会心肺复苏与心血管急救指南(更新版)》儿童基础生命支持部分解读
2015年10月公布了最新的《2015美国心脏病协会心肺复苏及心血管急救指南(更新版)》。本指南采用了新的系统性审查流程和新的建议级别(COR)及证据水平(LOE)。同时,对其中儿童基础生命支持(PBLS)部分的内容,也进行了调整。为了加强儿科医务人员的心肺复苏(CPR)急救技能的掌握,笔者拟简要介绍《2015更新》中,关于PBLS部分的主要更新内容,包括:①明确PBLS的适用人群;②重申胸外按压-开放气道-人工通气(C-A-B)的CPR操作顺序;③提供新的专业人员单人和多人施救流程;④限定胸外按压深度:青少年不超过6cm;⑤建议按压频率为100~120次/min;⑥比较传统CPR与单纯胸外按压式CPR的优势与劣势;⑦强调高质量的CPR等,旨在提高临床对患儿进行CPR的成功率及患儿生存率。四川大学华西第二医院急诊科、出生缺陷与相关妇儿疾病教育部重点实验室 潘玲丽 李熙鸿

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    2017-09-30 aids222
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    2017-06-03 慧读

    谢谢分享!

    0

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    2017-05-11 lizhou0204
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1988241, encodeId=f0781988241cc, content=<a href='/topic/show?id=327e563967e' target=_blank style='color:#2F92EE;'>#指南更新#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56396, encryptionId=327e563967e, topicName=指南更新)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04ce158, createdName=lxg951, createdTime=Thu Jan 11 17:16:00 CST 2018, time=2018-01-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684445, encodeId=3f14168444592, content=<a href='/topic/show?id=dfae5133e1d' target=_blank style='color:#2F92EE;'>#心肺#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, 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=Sat Sep 30 16:16:00 CST 2017, time=2017-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=206036, encodeId=8a23206036f8, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7f401615413, createdName=慧读, createdTime=Sat Jun 03 16:14:06 CST 2017, time=2017-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305401, encodeId=ab2c130540156, content=<a href='/topic/show?id=270342e249d' target=_blank style='color:#2F92EE;'>#复苏#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, 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=Thu May 11 01:16:00 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385308, encodeId=526a1385308e4, content=<a href='/topic/show?id=477851e987a' target=_blank style='color:#2F92EE;'>#心血管急救#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51798, encryptionId=477851e987a, topicName=心血管急救)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f08498, createdName=wenzhiren, createdTime=Thu May 11 01:16:00 CST 2017, time=2017-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196154, encodeId=032519615421, content=学习,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Wed May 10 09:18:22 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=196065, encodeId=c775196065fc, content=不错的指南,为我们探讨研究提供了方针,必须给点个赞了!, 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/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed May 10 07:02:04 CST 2017, time=2017-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195918, encodeId=f96d195918e1, content=又有新进展了好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Tue May 09 22:28:06 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195864, encodeId=4b7a195864b2, content=继续学习中谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Tue May 09 16:17:27 CST 2017, time=2017-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=195820, encodeId=4ad419582055, content=很好,学习了分享了, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387d1660055, createdName=dhzzm, createdTime=Tue May 09 12:37:21 CST 2017, time=2017-05-09, status=1, ipAttribution=)]
    2017-05-10 执着追梦

    学习,感谢分享!

    0

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    2017-05-10 ylzr123

    不错的指南,为我们探讨研究提供了方针,必须给点个赞了!

    0

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    2017-05-09 thlabcde

    又有新进展了好东西学习了!

    0

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    2017-05-09 往日如昨

    继续学习中谢谢

    0

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    2017-05-09 dhzzm

    很好,学习了分享了

    0

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