Title: ????(cardiac arrest)
1?????????
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2????(cardiac arrest) ?????????????? ?????(sudden
cardiac death) ?????????1?????????????????,??????
????? ??????????????????
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4 ????
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?????????????(?)
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- ?????????68???,?????,???????
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??,????????????? - ???????????,???????,????,???????,????????????,???
???????????,??????????????? - ??????????5060????
- ????????????????????
7????
8????
9??????
10???????
11????? Cardio-PulmonaryResuscitation,CPR
12??????
13?????????
- 1956??????????????????????????????????
- 1958??????????????????????
- 1960????????????
- ????????????,???????(CPCR)???
14?????????
- ????---?????? (basi life support BLS)
- ??????---??????(advenced life support ALS)
- ????---??????(prolonged life support PLS)
15??????---A B C
1.??(Assessment) 2.???? (Breathing) 3.????
(Circulation)
16????
17????????
18????700-1000ml/? 12-15?/?
19????
20???????(?)
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22???????
1.??????? 2.???????? 3.???????????
23???????
- ??????1/3???
- ????????,??????,??????
- ??????4-5cm
- ?????????
- ??100?/?
- ?????302(??)152(??)
24(No Transcript)
25????????
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- ?????????20-30mmHg
- ???????????????,????????????
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26?????????(?)
27?????????(?)
28???????????
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- ????????2-3?,??????1?,??????????30-40,????????70
-80,?????? - ????????????????,??????????1/3???,????????
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29?????????
30????????
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- ??????80mmHg??
- ????
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31?????????
- ?????,?????????????????????????????????SBPlt60mmHg,
????????,???gt60?/?,????????????? - ???????,????8???????
- ????????2-3?????????,????????5???
32?????????
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34?????----?????
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1.????(????) 2.????,???????? 3.???? 4.?? 5.?? 6.?
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36????(?)
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37????(?)
???????????????23??(???),???????????5??(???)?????
????,??????????????????????lt10cm?
38????(?)
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40???
????? ????????2-3?????? ?? 200-300-360J ???
41???????
??????????????,????8-10????????????,??????????? ??
?????,???1??,?????????710,??12??,?????25 ?????
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42????
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- ??????80-90????
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45????????(1)????????
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- ????????????????????????
- ????????20ml????
- ????1020??
46????????(2)??????
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47????????(3)?????
????????????????? ????????22.5? ?????10ml ??????
?????????,???? ???????? ???????,???????
48????????(4)????
???????????????????????,?????????? ?????????????,
????????
49????
??1mg/?,??,3-5????? ??a,ß???????????????-BP
??????????????
50????
?????,???????1.01.5mg/kg(???) ??35?????,??lt3mg/k
g ??????14mg/??? 24??????,????????????,70??????,?
????????
51???
- ?????????,????????????,?????
- ?????????
- ??
- ????1.0mg??,35?????
- ????0.51.0mg??
- ??0.04mg/kg
52???
- ????????
- 24 µg/?/kg,????????,?????,?????,??????????????
- 510 µg/?/kg,?????ß??,???????
- 1020 µg/?/kg,a??,?????????????????????????????
53????
- ?????????????,???????????????
- ?????1mmol/kg????(5????1.0ml???? 0.6mmol)?
???????10min?????????,????????????????? - ???????????????????,????????????????
- CPR 10?????????
54??????
- ???????????????
- ?? 210µg/???
55???
- ???
- ??????/??
- ???????????????????????QRS????
- ???????????????
- ??????????????
56???
- ????????
- ???150mg,10???????????????????????300mg??
- ???1mg/?,6?????0.5mg/?
- ??????2g
- ??????????????
57?????????(1)
- ?????????????,??????,???80mmHg???
- ?????????,??,??????
58?????????(2)
CPR???1h,???????????? ??????????? ??????
????????15?????????????????????????
???CPR????????gt15min
59??????
60??????????????
61??????
?????????(???) ???????? PH PO2 PCO2
?????????????????????????????
???? ?????? ??????
62??????
- 1.???????????
- 2.?????????????????
- 3.??ICD????
63 ????
64 ???
- ???????????????????(EMS)
- ??CPR
- ????????
- ??????????
65??????????(?)
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66??????????(?)
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67??????????(?)
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68??!