Prehospital cardiopulmonary resuscitation. Is it effective
Prehospital cardiopulmonary resuscitation. Is it effective
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院前心肺复苏。
DOI：
10.1001/jama.1985.03350400092028
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
M. Eisenberg
中科院分区：
文献类型：
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作者：
R. Cummins;M. Eisenberg
本文标题中提出的问题背后有两个悖论。首先，心肺复苏（CPR）技术的快速和广泛传播发生在充分理解其生理学基础之前。第二，数据显示，令人沮丧的低冠状动脉和颈动脉流速与基本心肺复苏术明显的救生能力形成鲜明对比。20世纪60年代初，Kouwenhoven等人证明了闭胸按压对心脏骤停的有效性;该技术很快在世界范围内传播。到1974年，有影响力的团体，如美国心脏协会的支持，确保了标准CPR的广泛接受。Kouwenhoven和同事认为，在CPR过程中，血液是通过胸骨和椎体之间的心脏压缩而排出的。然而，后来，各种研究实验室进行了什么，实际上，事后调查心肺复苏术的生理学;到20世纪80年代，很少有研究人员订阅Kouwenhoven和同事的研究报告。
TWO PARADOXES lie behind the question posed in the title of this article. First, rapid and widespread dissemination of the technique of cardiopulmonary resuscitation (CPR) occured before the underlying physiology was fully understood. Second, data that indicate discouragingly low coronary and carotid artery flow rates contrast sharply with the obvious lifesaving capacity of basic CPR. CPR In the early 1960s, Kouwenhoven et al1demonstrated the effectiveness of closed-chest compressions for cardiac arrest; rapid worldwide dissemination of the technique soon followed. By 1974, the endorsement of influential groups such as the American Heart Association secured broad acceptance for standard CPR.2Kouwenhoven and co-workers thought that during CPR blood was expelled by compression of the heart between the sternum and vertebral bodies. Later, however, various research laboratories conducted what were, in effect, post hoc investigations into the physiology of CPR; by the 1980s, few researchers subscribed to Kouwenhoven and co-workers'