目的研究经Thumper®-1007 CPR机复苏后的心脏停搏后综合征（post-cardiac arrest syndrome,PCAS）的血气分析结果。方法对29例用Thumper®-1007CPR机复苏后PCAS患者的血气分析结果进行了研究，与实施徒手心肺复苏术的患者20例作为对照。比较两组动脉血气分析。结果实验组的动脉血氧分压度Pao2、血氧饱和度SaO２较人工组高(P＜0.05)，血二氧化碳分压PCO2、pH两组差异无显著性(P＞0.05)。结论应用Thumper®-1007 CPR机复苏后的PCAS存在氧气相对过量情况。

关键字：心跳呼吸停止；心肺复苏；萨勃心肺复苏机；心脏停搏后综合征；动脉血气分析

Abstract：

Objective To study the blood gas analysis results of post-cardiac arrest syndrome (PCAS) resuscitated by Thumper®-1007 CPR machine. Methods The results of blood gas analysis of 29 patients with PCAS after resuscitation with Thumper®-1007CPR machine were studied, and 20 patients with manual CPR were used as control. Arterial blood gas analysis was compared between the two groups. Results The arterial partial pressure of oxygen (Pao2) and blood oxygen saturation (SaO2) in the experimental group were higher than those in the artificial group (P < 0.05). There was no significant difference in blood partial pressure of carbon dioxide (PCO2) and pH between the two groups (P > 0.05). Conclusions There is a relative excess of oxygen in PCAS after resuscitation with Thumper®-1007 CPR machine.

Keywords: Cardiopulmonary arrest; Cardiopulmonary resuscitation; Saber cardiopulmonary resuscitation machine; Post-cardiac arrest syndrome; Arterial blood gas analysis

正文内容 / Content：

可下载全文PDF查阅，并按照本文版权申明进行使用。

Download the full text PDF for viewing and using it according to the license of this paper.

参考文献 / References：

Kouweuhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage[J]. JAMA,1960,173: 1064-7.

Spiller JD, Noblett KE. Endotracheal tube occlusion following blind oral intubation with the Endotrol (trigger) endotracheal tube: a case report[J]. Am J Emerg Med. 1998,16(3): 276-8.

蒋健.对国际复苏联盟关于心脏停搏后综合征共识的一点认识[J]. 内科理论与实践,2009.4(6): 526-528.

Hu X,Ramadeen A,Laurent G.The effects of an automatic, low pressure and constant flow ventilation device versus manual ventilation during cardiovascular resuscitation in a porcine model of cardiac arrest[J].Resuscitation , 2013, Vol.84 (8):1150-1155.

Bobrow BJ,Vadeboncoeur TF,Stolzu,et al.The influence of scenario based training and real time audiovisua feedback on out of hospital cardiopulmonary resuscitation qnalitu and survivao from out of hospital cardiac arrest[J].Ann Eme Med,2013,62(1):47-56.

龚黎, 孙宝玲, 赵亚良等. 萨勃心肺复苏机抢救心脏骤停患者的效果[J].心脏杂志. 2016,28(02): 194-196.

郭帅, 宫殿博, 路小光, 白黎智, 范治伟, 王迎莉. 萨勃心肺复苏机在急诊的临床使用分析[J]. 中国医疗器械信息.,2014. 20(02): 3-5.

Wong GC, van Diepen S, Ainsworth C, et al. Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Position Statement on the Optimal Care of the Postarrest Patient[J]. Can J Cardiol, 2017, 33(1):1-16.

Kilgannon JH, Jones AE, Shapiro NI, et al. Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality[J]. JAMA, 2010, 303(21):2165-2171.

Callaway CW, Donnino MW, Fink EL, et al. Part 8: post–cardiac arrest care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J]. Circulation, 2015, 132(suppl 2):S465-482.

Roberts BW, Kilgannon JH, Chansky ME, et al. Association between post resuscitation partial pressure of arterial carbon dioxide and neurological outcome in patients with post-cardiac arrest syndrome[J]. Circulation, 2013, 127(21):2107-2113.

Brian JE Jr. Carbon dioxide and the cerebral circulation[J]. Anesthesiology, 1998, 88(5):1365-1386.

朱建良,朱建军,刘励军. 心脏骤停后综合征患者早期集束化治疗进展.中华急诊医学杂志,2019, 28(1):7-11.

石廷慧, 林保冠, 汪波, 吴世畅, 张全鹏. 心肺复苏机在心搏骤停患者院前急救中的应用效果[J]. 重庆医学, 2014. 43(34): 4613-461

Hong-Xiu H,Ran-Ran G,Zhao-Hui G, et al. Microbial transformation of pseudoprotodioscin by Gibberella fujikuroi.[J]. Journal of Asian natural products research,2018,20(7).
温玥. 外施赤霉素和多效唑对油茶花芽形成和果实品质的影响[D].北京林业大学,2019.

本文是一篇遵循创作共用许可证（CC BY）的开放获取文章

Canonical URL: https://creativecommons.org/licenses/by/4.0/