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2010年10月美国心脏病协会发表了新的儿童基础和高级生命支持指南,与2005版指南对照,新指南更新的内容主要涉及儿童复苏的2个方面:促进自主循环恢复和复苏后稳定,包括简化评估程序,心肺复苏操作顺序由A-B-C变为C-A-B,高质量的胸外按压,自动体外除颤仪的使用和除颤,自主循环恢复后调节吸入氧体积分数,以达到适当的氧饱和度,复苏过程中钙剂和依托咪酯的使用,复苏后治疗性低体温的应用等。现简要介绍主要更新内容及其依据。
In October 2010, the American Heart Association published a new guide to children’s basic and advanced life support, in contrast with the 2005 edition of the guide. The updated guideline focuses on two aspects of child recovery: promotion of spontaneous circulation recovery and post-recovery stabilization, including Simplify the assessment process, CPR operation sequence from ABC to CAB, high-quality chest compressions, automatic external defibrillator use and defibrillation, spontaneous circulation regulates inhaled oxygen volume fraction, in order to achieve the appropriate oxygen saturation, The use of calcium and etomidate in the recovery process, the therapeutic application of hypothermia after resuscitation, and the like. Now briefly introduce the main update content and its basis.