摘要
目的：观察Ｆ２Ｍ１型心肺复苏器抢救心脏骤停患者的临床应用价值。方法：根据胸泵原理，利用自行研制的Ｆ２Ｍ１型心肺复苏器与徒手胸外心脏按压相比较，用于抢救９例心脏骤停患者，观察其血压、潮气量及心电图变化。结果：Ｆ２Ｍ１型心肺复苏器与徒手按压时患者收缩压（分别为１５．１±３．０ｋＰａ和５．７±１．６ｋＰａ，１ｋＰａ＝７．５ｍｍＨｇ）比较，差异非常显著（Ｐ＜０．０１），舒张压（分别为７．０±２．５ｋＰａ和１．８±０．９ｋＰａ）差异极显著（Ｐ＜０．００１）。不同部位进行人工通气的潮气量对比，Ｆ２Ｍ１型心肺复苏器潮气量大于徒手按压法，尤以按压剑突下及上腹部潮气量增加最为显著。心电图观察对比，应用Ｆ２Ｍ１型心肺复苏器较徒手按压有利于室性自主心律和窦性心律的恢复。结论：Ｆ２Ｍ１型心肺复苏器显著提高了心脏骤停患者的血压、潮气量和窦性心律的恢复，有利于急症患者的抢救。
Objective:To observe the clinical application value of type F 2M1 cardiopulmonary resuscitator in cardiac arrest patients.Methods:According to chest pump theory,the type F 2M1 cardiopulmonary resuscitator was developed.in nine cases of cardiac arrest patients,type F 2M1 cardiopulmonary resuscitator was used to compare with traditional standard cardiopulmonary resuscitation (CPR),and the changes of electrocardiogram,blood pressure and tidal volume were observed.Results:It was found that type F 2M1 cardiopulmonary resusicitator could effectively improve blood pressure response(from 5 7±1 6/1 8±0 9 kPa to 15 1±3 0/7 0±2 5 kPa),increase tidal volume and do good to cardioversion.It also could save operater efforts and avoid the rib fracture and other complications.Conclusions:From these data it is suggested that may have potential use in the treatment of cardiac arrest patients.
出处
《中国危重病急救医学》
CAS
CSCD
1997年第3期145-147,共3页
Chinese Critical Care Medicine
关键词
心肺复苏器
胸外心脏按压
心脏骤停
急救
cardiopulmonary resuscitation
chest cardiac massage
cardiac arrest
