Application of abdominal lifting and compression cardiopulmonary resuscitation in pre-hospital recue of patients with cardiac arrest

doi:10.3877/cma.j.issn.2095-9133.2015.01.009

Abstract

Abstract:

Objective

To explore the clinical application of rhythmic abdominal lifting and compression cardiopulmonary resuscitation（CPR）in pre-hospital recue of patients with cardiac arrest.

Methods

A retrospective analysis was done on clinical data of eight patients with cardiac arrest at Zhengzhou People's Hospital Emergency Center who were successfully rescued by using the abdominal pressure equipment from March to June 2014.Among 8 patients were 5 males and 3 females.There were 6 patients with multiple chest trauma（without abdominal trauma），1 with thoracic deformity and septic shock，and 1 with thoracic deformity and cardiac shock.

Results

All the patients had contraindications to conventional CPR.All restore spotaneous circulation recorery normal blood gas analysis after 30 min.

Conclusions

The rhythmic abdominal lifting and compression cardiopulmonary resuscitation（CPR）can be used in patients with contraindications of chest compression and is worthy of further clinical use.

Key words: Abdominal lifting and compression, Cardiopulmonary resuscitation, Cardiac arrest, Rate of spontaneous circulation

Siseng Zhang, Zhijian Meng, Qing Liu, Wentao Qi, Jinqiang Liu, Juhua Tang, Lixiang Wang. Application of abdominal lifting and compression cardiopulmonary resuscitation in pre-hospital recue of patients with cardiac arrest[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2015, 01(01): 31-33.

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References 13

1	王立祥，郑静晨.开辟经腹心肺复苏新途径［J］.中华危重病急救医学，2013，25（2）：68-69.
2	胡辉莹，钟世镇.心肺复苏中胸外按压作用及研究进展［J］.中国急救医学，2006，26（12）：928-930.
3	Babbs CF.Interposed abdominal compression CPR：a comprehensive evidence based review［J］.Resuscitation，2003，59（1）：71-82.
4	李秀满，王立祥，刘亚华，等.腹部提压法对窒息心搏骤停猪复苏效果的实验研究［J］.中国危重病急救医学，2012，24（4）：237-240.
5	王立祥，刘亚华，李秀满，等.腹部提压心肺复苏法对呼吸骤停猪肺通气的实验研究［J］.中国危重病急救医学，2011，23（6）：368-369.
6	王立祥，孙鲲，马立芝，等.腹部提压胸外提压和胸外按压对心搏骤停患者肺潮气量的影响［J］.中国急救医学，2009，29（9）：784-785.
7	王立祥，郑静晨，侯世科，等.腹部提压心肺复苏新装置［J］.武警医学，2009，20（5）：455-456.
8	Geddes LA，Rundell A，Lottes A，et al.A new cardiopulmonary resuscitation method using only rhythmic abdominal compression：a preliminary report［J］.Am J Emerg Med，2007，25（7）：786-790.
9	王立祥，陈新国，李威，等.经膈肌下抬挤心脏急救肝移植术中心搏骤停［J］.中华急诊医学杂志，2008，17（12）：1314-1315.
10	王立祥，丁春侠，李旭，等.经膈肌下抬挤心脏方法对心脏停搏兔复苏的实验研究［J］.中国危重病急救医学，2008，20（12）：717-720.
11	Pargett M，Geddes LA，Otlewski MP，et al.Rhythmic abdominal compression CPR ventilates without supplemental breaths and provides effective blood circulation［J］.Resuscitation，2008，79（3）：460-467.
12	Lederer W，Mair D，Rabl W，et al.Frequency of rib and sternum fractures associated with out-of hospital cardiopulmonary resuscitation is underestimated by conventional chest X ray［J］.Resuscitation，2004，60（2）：157-162.
13	Abella BS， Alvarado JP， Myklebust H， et al. Quality of cardiopulmonary resuscitation during in hospital cardiac arrest［J］.JAMA，2005，293（3）：305-310.

例序	年龄（岁）	性别	腹部提压适应证	心率（次／ｍｉｎ）	心律	ＳＯ_２（％）	血压（ｍｍＨｇ）	光反射	瞳孔直径（ｍｍ）	挣扎活动	意识
１	４１	男	胸部外伤	１２３	窦性	９０％	１２１／５６	存在	２.５	有	模糊
２	５０	男	胸部外伤	１３４	偶发室早	９２％	１０２／６３	无	４.０	无	昏迷
３	６７	男	胸部外伤	１５６	房颤	９８％	１１２／５５	存在	３.０	有	嗜睡
４	５６	男	肋骨骨折	１２１	房颤	８８％	１０１／５６	存在	２.５	有	模糊
５	６１	男	肋骨骨折	１０６	窦性	９１％	１３１／６１	存在	２.５	有	嗜睡
６	４７	女	肋骨骨折	９８	频发室早	９０％	９４／６０	存在	２.０	有	昏迷
７	８６	女	胸廓畸形休克	１５６	偶发室早	９２％	９１／５８	无	４.５	无	昏迷
８	７９	女	胸廓畸形休克	１４３	房颤	８７％	９１／５１	存在	３.０	无	昏迷

例序	年龄（岁）	性别	腹部提压适应证	心率（次／ｍｉｎ）	心律	ＳＯ_２（％）	血压（ｍｍＨｇ）	光反射	瞳孔直径（ｍｍ）	挣扎活动	意识
１	４１	男	胸部外伤	１２３	窦性	９０％	１２１／５６	存在	２.５	有	模糊
２	５０	男	胸部外伤	１３４	偶发室早	９２％	１０２／６３	无	４.０	无	昏迷
３	６７	男	胸部外伤	１５６	房颤	９８％	１１２／５５	存在	３.０	有	嗜睡
４	５６	男	肋骨骨折	１２１	房颤	８８％	１０１／５６	存在	２.５	有	模糊
５	６１	男	肋骨骨折	１０６	窦性	９１％	１３１／６１	存在	２.５	有	嗜睡
６	４７	女	肋骨骨折	９８	频发室早	９０％	９４／６０	存在	２.０	有	昏迷
７	８６	女	胸廓畸形休克	１５６	偶发室早	９２％	９１／５８	无	４.５	无	昏迷
８	７９	女	胸廓畸形休克	１４３	房颤	８７％	９１／５１	存在	３.０	无	昏迷

例序	ｐＨ	ＰＯ_２（ｍｍＨｇ）	ＰＣＯ_２（ｍｍＨｇ）	Ｋ^＋（ｍｍｏｌ／Ｌ）	ＢＥ（ｍｍｏｌ／Ｌ）	Ｎａ^＋（ｍｍｏｌ／Ｌ）	ＨＣＯ_３^-（ｍｍｏｌ／Ｌ）
１	７.２７	８１	１５.０	５.４	0.4	１５６.０	１８
２	７.０３	８７	１３.０	４.９	-２７.３	１４８.０	１５
３	７.２６	９４	１３.０	５.９	-4.1	１７９.０	16
４	７.０１	７６	３１.０	３.２	-１９.３	１６５.０	１０
５	６.９６	８０	３６.０	４.９	-２１.５	１５５.０	８
６	７.１３	８６	１９.３	５.０	-15.7	１２０.３	11
７	７.１９	８１	４５.０	６.５	-16.2	１６１.０	９
８	６.８７	７５	５１.２	６.０	-２８.３	１９２.０	３

例序	ｐＨ	ＰＯ_２（ｍｍＨｇ）	ＰＣＯ_２（ｍｍＨｇ）	Ｋ^＋（ｍｍｏｌ／Ｌ）	ＢＥ（ｍｍｏｌ／Ｌ）	Ｎａ^＋（ｍｍｏｌ／Ｌ）	ＨＣＯ_３^-（ｍｍｏｌ／Ｌ）
１	７.２７	８１	１５.０	５.４	0.4	１５６.０	１８
２	７.０３	８７	１３.０	４.９	-２７.３	１４８.０	１５
３	７.２６	９４	１３.０	５.９	-4.1	１７９.０	16
４	７.０１	７６	３１.０	３.２	-１９.３	１６５.０	１０
５	６.９６	８０	３６.０	４.９	-２１.５	１５５.０	８
６	７.１３	８６	１９.３	５.０	-15.7	１２０.３	11
７	７.１９	８１	４５.０	６.５	-16.2	１６１.０	９
８	６.８７	７５	５１.２	６.０	-２８.３	１９２.０	３

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