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2010 心肺复苏指南解读 PowerPoint PPT Presentation


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2010 心肺复苏指南解读. 浙江省台州医院 林荣海. 心肺复苏的历史. 1958 年美国人 Peter safar 发明了口对口人工呼吸 1960 年 Kouwenhoven 发明了胸外心脏按压,从而奠定了现代心肺复苏的基础 分别于 1966 , 1973 , 1985 , 1992 召开全国性的 CPR 会议; 1983 召开首次儿科 CPR 会议(美国); 2000 年召开首次世界 CPR 和 ECC 大会; 2005 年 1 月 23-30 ,在美国达拉斯召开第二届世界 CPR 和 ECC 会议。

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2010 心肺复苏指南解读

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2010

2010


2010

  • 1958Peter safar

  • 1960Kouwenhoven

  • 1966197319851992CPR1983CPR2000CPRECC2005123-30CPRECC

  • 1974AHA198019861992200020052010199219961998


2010

2010

2005


2010

1100/min100/min

24-5cm5cm

3

4CPRA-B-CC-A-B

5CPR

2010


2010

6PEA

7 ROSC94%~98%

810mmol/L

95s


A b c c a b

A-B-C C-A-B

A-B-C C-A-B


2010

  • (VF) (VT)


2010

A-B-C C-A-B


2010

  • A-B-C


2010

  • (AED)


2010

EMS

2010


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AED AED

10 AED


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5


2010

2005


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CPR

ACLS


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    1

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2010

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2010

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2010


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1. AED

:

2.AED


2010

2010 2005

AED < 3 min


2010

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2010

  • AED AED 1 3


2010

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2010

: 2005

ROSC

120-200 J


2010

AED

AED 1 8

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2005<1 AED


2010


2010


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QRS

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2010

AHA 2010-CPR guideline


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2010

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2010

  • CPRCPR150300mg

  • 11.5mg/kg


2010

/


2010

CPR

CO2(PETCO2)(SpO2)(tcPO2)


2010

94%FIO2

100% FIO2 , 94%


2010

1./

2.

QRS

3.


2010

4.

1 18% 35%

2ACS


2010

1.

2. /

3. (ACS)

4.

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2010

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2010

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2010

4. ?

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2010

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Post resuscitation mods

post-resuscitationMODS

150%24

21-3(MODS)

3

4


2010

16kPa65ml/h

1988ShoemakerCVP

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CVP

SvO2PCO2CODO2VO2

BL


2010

SvO2

SvO2MAP

DO2450550ml/min.m2

VO2120140ml/min.m2

CI2.83.5L/min.m2

DO2600ml/min.m2

VO2170ml/min.m2

CI4.5L/min.m2


2010

BL

BLVO2 BL24BL


2010

(OHCA)

1.

AED

()


2010

2.

()


2010


2010

2010


2010

Thank you


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