摘要
心搏骤停患者的救治一直是严峻的临床问题。近年来,常规心肺复苏流程虽然有所改进,但是没有显著提高心搏骤停患者的存活率。体外心肺复苏技术的出现为这类患者带来一丝曙光。囿于高质量循证医学证据的不足,国内外体外心肺复苏的适应证不完全一致。结合我国国情,我们建议完善心搏骤停患者救治的区域联动机制,弥补医疗资源分配不均的现实问题;同时开展设计合理严谨的多中心随机对照研究,探索符合我国国情的体外心肺复苏之路。
The management of cardiac arrest(CA)remains a major clinical challenge.In recent years,although conventional cardiopulmonary resuscitation protocols have improved,the survival rate of CA patients has not been significantly increased.The advent of extracorporeal cardiopulmonary resuscitation(ECPR)has brought new hope to these patients.However,due to the lack of high-quality evidence-based medical evidence,the indications for ECPR have not been fully unified at home and abroad.In light of China's national conditions,we recommend improving the regional linkage mechanism for the treatment of CA patients to address the practical problem of uneven distribution of medical resources.Meanwhile,well-designed multicenter randomized controlled trials are warranted to explore an ECPR application pathway tailored to China's national conditions.
作者
陈旭锋
CHEN Xufeng(Department of Emergency Medicine,the First Affiliated Hospital with Nanjing Medical University,Nanjing,210029,China)
出处
《临床急诊杂志》
2025年第11期595-597,共3页
Journal of Clinical Emergency
关键词
体外心肺复苏
心搏骤停
extracorporeal cardiopulmonary resuscitation
cardiac arrest
