{"id":93430,"date":"2019-03-28T00:00:50","date_gmt":"2019-05-17T07:40:15","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/93430\/"},"modified":"2019-05-17T15:40:17","modified_gmt":"2019-05-17T07:40:17","slug":"675d6c9b9c","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/93430\/","title":{"rendered":"\u5fc3\u810f\u505c\u640f\u90fd\u5f97\u5fc3\u80ba\u590d\u82cf\uff1f\u8fd9 5 \u7c7b\u60c5\u51b5\u4e0d\u9700\u8981"},"content":{"rendered":"
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1. \u8840\u6db2\u5faa\u73af\u7684\u6307\u4ee4\u7cfb\u7edf\u2014\u2014\u4e2d\u67a2\u795e\u7ecf<\/strong><\/span><\/p>\n


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2. \u8840\u6db2\u5faa\u73af\u7684\u52a8\u529b\u7cfb\u7edf\u2014\u2014\u5fc3\u810f<\/strong><\/span><\/p>\n


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1\uff09\u89e6\u53d1\u7cfb\u7edf\uff1a<\/span><\/p>\n


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2\uff09\u673a\u68b0\u6536\u7f29\u7cfb\u7edf\uff1a<\/span><\/p>\n


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3. \u8840\u6db2\u5faa\u73af\u7684\u5bb9\u7eb3\u7cfb\u7edf\u2014\u2014\u8840\u7ba1\u7f51<\/strong><\/span><\/p>\n


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\u5982\u679c\u628a\u6240\u6709\u7684\u8840\u7ba1\u8054\u6210\u4e00\u6761\uff0c\u5176\u957f\u5ea6\u53ef\u8fbe 9 \u4e07 6 \u5343\u516c\u91cc\u4e4b\u591a\uff0c\u80fd\u73af\u7ed5\u5730\u7403 2 \u5468\u3002\u5927\u8840\u7ba1\u7684\u5b8c\u6574\u6027\u5bf9\u8840\u6db2\u5faa\u73af\u662f\u5fc5\u4e0d\u53ef\u5c11\u7684\uff0c\u4e00\u65e6\u5927\u8840\u7ba1\u7684\u5b8c\u6574\u6027\u906d\u5230\u7834\u574f\uff0c\u5982\u4e25\u91cd\u5916\u4f24\u548c\u4e3b\u52a8\u8109\u5939\u5c42\uff0c\u8840\u6db2\u5faa\u73af\u52bf\u5fc5\u53d7\u5230\u4e25\u91cd\u5f71\u54cd\u3002<\/span><\/p>\n


<\/p>\n


<\/p>\n

4. \u8840\u6db2\u5faa\u73af\u7684\u4f20\u9001\u4ecb\u8d28\u2014\u2014\u8840\u6db2<\/strong><\/span><\/p>\n


<\/p>\n

\u8840\u6db2\u5faa\u73af\u8fd0\u884c\u7684\u6db2\u4f53\u662f\u8840\u6db2\uff0c\u8840\u6db2\u4f5c\u4e3a\u7684\u8f7d\u4f53\uff0c\u50cf\u4f20\u9001\u5e26\u4e00\u6837\u628a\u5404\u79cd\u8425\u517b\u7269\u8d28\u9001\u8fbe\u9700\u8981\u7684\u5730\u65b9\u3002\u5982\u679c\u6ca1\u6709\u8db3\u591f\u7684\u8840\u6db2\uff0c\u5404\u79cd\u7269\u8d28\u7684\u4f20\u9001\u52bf\u5fc5\u65e0\u6cd5\u5b8c\u6210\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n


<\/p>\n

\u7531\u4e0a\u8ff0\u673a\u5236\uff0c\u6211\u4eec\u53ef\u4ee5\u770b\u5230\uff0c\u5fc3\u810f\u4ec5\u4ec5\u662f\u6784\u6210\u8840\u6db2\u5faa\u73af\u7684 4 \u9879\u5185\u5bb9\u4e4b\u4e00\u3002<\/span><\/p>\n


<\/strong><\/span><\/p>\n

\u5fc3\u80ba\u590d\u82cf\u4ec5\u4ec5\u662f\u9488\u5bf9\u52a8\u529b\u7cfb\u7edf\u2014\u2014<\/strong><\/span>\u5fc3\u810f<\/strong><\/span>\u8fd9\u4e00\u73af\u8282\u7684\u3002<\/strong><\/span><\/p>\n


<\/span><\/p>\n

\u5982\u679c\u9020\u6210\u5fc3\u640f\u9aa4\u505c\u7684\u5143\u51f6\u51fa\u5728\u5176\u4ed6\u73af\u8282\u800c\u4e0d\u662f\u5fc3\u810f\uff0c\u6025\u6551\u8005\u65e0\u8bba\u600e\u6837\u5fc3\u80ba\u590d\u82cf\u90fd\u65e0\u6d4e\u4e8e\u4e8b\u3002<\/span><\/strong><\/p>\n


<\/p>\n


<\/p>\n


<\/p>\n

\u5fc3\u80ba\u590d\u82cf\u7684\u6700\u4f73\u9002\u5e94\u8bc1\u2014\u2014\u5fc3\u6e90\u6027\u5fc3\u640f\u9aa4\u505c<\/span><\/span><\/strong><\/span><\/p>\n


<\/p>\n

1. \u6700\u4f73\u9002\u5e94\u75c7\uff1a\u7531\u7a81\u53d1\u7684\u4e25\u91cd\u5fc3\u7535\u7d0a\u4e71\u5bfc\u81f4\u7684\u5fc3\u640f\u9aa4\u505c<\/strong>\uff0c\u5982\u65e0\u8109\u5ba4\u901f\u6216\u5ba4\u98a4\u7b49<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\n
\n
\n
\n

\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u8fd9\u7c7b\u75c5\u4eba\u7684\u5fc3\u7535\u7d0a\u4e71\u6765\u81ea\u4e8e\u5fc3\u810f\u7684\u6025\u6027\u7f3a\u8840\uff0c\u9020\u6210\u7684\u5c40\u90e8\u5fc3\u808c\u4ee3\u8c22\u7d0a\u4e71\uff0c\u6700\u5e38\u89c1\u7684\u75be\u75c5\u5c31\u662f\u6025\u6027\u51a0\u8109\u7efc\u5408\u5f81<\/strong><\/span>\uff08ACS\uff09<\/span>\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5176\u4ed6\u60c5\u51b5\u8fd8\u6709\u89e6\u7535\u5bfc\u81f4\u7684\u5ba4\u98a4\uff0c\u548c\u56e0<\/strong>\u9057\u4f20\u6027\u5fc3\u5f8b\u5931\u5e38\u7efc\u5408\u5f81<\/strong><\/span>\uff08\u75c5\u4eba\u79bb\u5b50\u901a\u9053\u529f\u80fd\u969c\u788d\uff09<\/span>\u53d1\u751f\u7684\u6076\u6027\u5fc3\u5f8b\u5931\u5e38\u3002<\/span><\/p>\n


<\/span><\/p>\n

\"\u5fc3\u810f\u505c\u640f\u90fd\u5f97\u5fc3\u80ba\u590d\u82cf\uff1f\u8fd9<\/p>\n


<\/span><\/p>\n

\u4e0a\u8ff0\u5fc3\u640f\u9aa4\u505c\u90fd\u5c5e\u4e8e\u5fc3\u6e90\u6027\u5fc3\u640f\u9aa4\u505c\uff0c\u4e5f\u79f0\u4e3a\u5fc3\u5f8b\u5931\u5e38\u6027\u5fc3\u640f\u9aa4\u505c<\/span>\uff08arrhythmic arrest\uff09<\/span>\u3002\u5176\u7279\u70b9\u662f\u5927\u591a\u6570\u75c5\u4eba\u662f\u539f\u53d1\u6027\u5fc3\u640f\u9aa4\u505c\uff0c\u5176\u5fc3\u810f\u548c\u5168\u8eab\u5e76\u6ca1\u6709\u81f4\u547d\u7684\u4e25\u91cd\u75c5\u53d8\u6216\u635f\u4f24\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6b63\u5982 Claude Beck \u6307\u51fa\u7684\uff1a\u5f88\u591a\u60c5\u51b5\u4e0b\u75c5\u4eba\u7684\u5fc3\u810f\u300c\u597d\u5f97\u6839\u672c\u4e0d\u81f3\u4e8e\u6b7b<\/span>\uff08have hearts too good to die\uff09<\/span>\u300d\uff0c\u8bf4\u7684\u5c31\u662f\u8fd9\u79cd\u60c5\u51b5\u3002<\/span><\/p>\n


<\/p>\n

\u6700\u91cd\u8981\u7684\u662f\u75c5\u4eba\u51fa\u73b0\u7684\u6076\u6027\u5fc3\u5f8b\u5931\u5e38\u867d\u7136\u5341\u5206\u51f6\u9669\uff0c\u751a\u81f3\u53ef\u4ee5\u81f4\u547d\uff0c\u4f46\u5b83\u6709\u65f6\u662f\u53ef\u9006\u7684\uff0c\u662f\u4e00\u65f6\u7684\uff0c\u53d1\u75c5\u540e\u5982\u679c\u6025\u6551\u8005\u80fd\u63d0\u4f9b\u53ca\u65f6\u6b63\u786e\u7684\u5fc3\u80ba\u590d\u82cf\uff0c\u75c5\u4eba\u5b8c\u5168\u6709\u5e0c\u671b\u751f\u8fd8\uff0c\u800c\u4e14\u5f88\u591a\u75c5\u4eba\u53ef\u4ee5\u4e0d\u7559\u4efb\u4f55\u540e\u9057\u75c7\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u6240\u4ee5\u8fd9\u7c7b\u5fc3\u640f\u9aa4\u505c\u75c5\u4eba\u662f\u80fd\u4ece\u5fc3\u80ba\u590d\u82cf\u4e2d\u771f\u6b63\u83b7\u76ca\u7684\u4eba\u3002\u9057\u61be\u7684\u662f\uff0c\u4e34\u5e8a\u4e0a\u6709\u5f88\u591a\u8fd9\u7c7b\u75c5\u4eba\u7531\u4e8e\u6ca1\u6709\u5f97\u5230\u53ca\u65f6\u89c4\u8303\u7684\u5fc3\u80ba\u590d\u82cf\uff0c\u800c\u4e27\u5931\u4e86\u5b9d\u8d35\u7684\u751f\u547d\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n


<\/p>\n

2. \u5e94\u6fc0\u72b6\u6001\u4e0b\u53d1\u751f\u7684\u5fc3\u640f\u9aa4\u505c\u4e5f\u662f\u5fc3\u80ba\u590d\u82cf\u7684\u9002\u5e94\u8bc1<\/strong><\/span><\/p>\n


<\/p>\n

\u5e94\u6fc0\u662f\u673a\u4f53\u5728\u91cd\u5927\u5e94\u6fc0\u6e90\u7684\u523a\u6fc0\u4e0b\u505a\u51fa\u7684\u9002\u5e94\u6027\u53cd\u5e94\u3002\u5c3d\u7ba1\u662f\u9002\u5e94\u6027\u53cd\u5e94\uff0c\u4f46\u7ed3\u679c\u53ef\u80fd\u9002\u5f97\u5176\u53cd\u3002<\/span><\/p>\n


<\/p>\n

\n
\n
\n
\n

\u5e94\u6fc0\u6e90\u662f\u5f15\u8d77\u5e94\u6fc0\u53cd\u5e94\u7684\u5404\u79cd\u56e0\u7d20\uff0c\u4e3b\u8981\u5305\u62ec\uff1a<\/span><\/strong><\/p>\n


<\/span><\/strong><\/p>\n

1\uff09\u5404\u79cd\u4e25\u91cd\u7684\u4e2d\u6bd2\u3001\u8113\u6bd2\u75c7\u3001\u5fc3\u808c\u6291\u5236\u56e0\u5b50\u7b49<\/span><\/strong>\uff08\u5316\u5b66\u56e0\u7d20\uff09<\/span>\u30012\uff09<\/span><\/strong>\u4f4e\u6e29\u7b49<\/span><\/strong><\/span>\uff08\u7269\u7406\u56e0\u7d20<\/strong>\uff09<\/span>\u30013\uff09<\/span><\/strong>\u5982\u4ea4\u611f\u98ce\u66b4\u3001\u4ea4\u611f\u53ca\u8ff7\u8d70\u795e\u7ecf\u673a\u80fd\u4ea2\u8fdb\u7b49<\/span><\/strong><\/span>\uff08\u81ea\u4e3b\u795e\u7ecf\u56e0\u7d20\uff09<\/span>\u30014\uff09<\/span><\/strong>\u5fc3\u810f\u9707\u51fb\u7efc\u5408\u5f81\u3001\u9885\u8111\u635f\u4f24\u7b49<\/span><\/strong><\/span>\uff08\u673a\u68b0\u56e0\u7d20\uff09<\/span>\u30015\uff09<\/span><\/strong>\u7f3a\u6c27\u3001\u4f4e\u8840\u7cd6\u3001\u9ad8\u8840\u94be\u7b49\u7535\u89e3\u8d28\u7d0a\u4e71<\/span><\/strong><\/span>\uff08\u4ee3\u8c22\u56e0\u7d20\uff09<\/span>\uff0c\u4ee5\u53ca\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u7684\u6025\u6027\u75be\u75c5\u3001\u5267\u70c8\u8fd0\u52a8\u65f6\u90fd\u53ef\u4ee5\u6210\u4e3a\u5fc3\u640f\u9aa4\u505c\u7684\u5e94\u6fc0\u6e90\u3002<\/span><\/strong><\/p>\n


<\/p>\n

\u8fd9\u7c7b\u5fc3\u640f\u9aa4\u505c\u591a\u5c5e\u4e8e\u7ee7\u53d1\u6027\uff0c\u6309\u7167\u9884\u540e\u53ef\u4ee5\u628a\u75c5\u4eba\u5206\u4e3a\u4e24\u7c7b\uff1a\u4e00\u7c7b\u662f\u75c5\u60c5\u4e25\u91cd\uff0c\u4e0d\u53ef\u9006\u8f6c\uff0c\u53e6\u4e00\u7c7b\u662f\u4e00\u8fc7\u6027\u7684\u6253\u51fb\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5bf9\u4e8e\u540e\u8005\uff0c\u5982\u679c\u80fd\u625b\u4f4f\u8fd9\u4e2a\u4e25\u91cd\u7684\u6253\u51fb\uff0c\u5e76\u901a\u8fc7\u5fc3\u80ba\u590d\u82cf\u5efa\u7acb\u8840\u6db2\u5faa\u73af\uff0c\u627e\u5230\u5e76\u6d88\u9664\u5176\u5bfc\u81f4\u5fc3\u640f\u9aa4\u505c\u7684\u539f\u56e0\uff0c\u540c\u65f6\u8fc5\u901f\u7ea0\u6b63\u6076\u6027\u5fc3\u5f8b\u5931\u5e38\uff0c\u90e8\u5206\u75c5\u4eba\u662f\u53ef\u4ee5\u5eb7\u590d\u7684\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n


<\/span><\/strong><\/span><\/p>\n


<\/span><\/strong><\/span><\/p>\n

\u5fc3\u80ba\u590d\u82cf\u7684\u975e\u9002\u5e94\u8bc1<\/span><\/strong><\/span><\/p>\n


<\/p>\n

\u7f8e\u56fd\u533b\u751f\u517c\u5b66\u8005 Atul Gawande \u6307\u51fa\uff1a\u300c\u633d\u6551\u4e0d\u56de\u6765\u7684\u62a2\u6551\u662f\u4e00\u79cd\u4f24\u5bb3\u3002\u300d<\/span>\u5fc3\u80ba\u590d\u82cf\u5c24\u5176\u5982\u6b64\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5f88\u591a\u75c5\u4eba\u662f\u4e0d\u80fd\u4ece\u5fc3\u80ba\u590d\u82cf\u4e2d\u83b7\u76ca\u7684\uff0c\u53cd\u8fc7\u6765\u590d\u82cf\u53ea\u80fd\u5e26\u6765\u4f24\u5bb3\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u4e0b\u9762 5 \u7c7b\u60c5\u51b5\u5c31\u5c5e\u4e8e\u5fc3\u80ba\u590d\u82cf\u7684\u975e\u9002\u5e94\u8bc1\uff1a<\/span><\/strong><\/p>\n


<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n

1. \u7ec8\u672b\u671f\u75be\u75c5<\/span><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u6b7b\u4ea1\u662f\u4eba\u751f\u7684\u7ec8\u70b9\uff0c\u6bcf\u4e2a\u4eba\u90fd\u65e0\u6cd5\u9003\u8131\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u7ec8\u672b\u671f\u75be\u75c5\uff0c\u662f\u6307\u75c5\u4eba\u6240\u60a3\u75be\u75c5\u5df2\u4f7f\u5176\u5230\u8fbe\u8fd9\u4e2a\u7ec8\u70b9\uff0c\u4ed6\u7684\u751f\u547d\u4e4b\u8def\u5df2\u7ecf\u5230\u4e86\u5c3d\u5934\u3002\u5982\u665a\u671f\u764c\u75c7\u3001\u957f\u671f\u5367\u5e8a\u7684\u5404\u79cd\u4e25\u91cd\u6162\u6027\u75be\u75c5\u7b49\u3002<\/span><\/strong><\/p>\n


<\/span><\/p>\n

\u8fd9\u7c7b\u75c5\u4eba\u5168\u8eab\u810f\u5668\u5927\u90fd\u4e25\u91cd\u8870\u7aed\uff0c\u56e0\u6b64\u5df2\u7ecf\u56de\u5929\u4e4f\u672f\uff0c\u65e0\u6cd5\u633d\u6551\u3002\u6709\u65f6\uff0c\u5373\u4f7f\u6682\u65f6\u590d\u82cf\u6210\u529f\uff0c\u81f3\u591a\u4e5f\u53ea\u80fd\u5c06\u75c5\u4eba\u7684\u751f\u547d\u5ef6\u957f\u6570\u5c0f\u65f6\u6216\u6570\u65e5\u3002<\/span><\/p>\n


<\/p>\n

\u4e3a\u6b64\uff0c\u4e16\u754c\u5404\u56fd\u65e9\u5df2\u5c55\u5f00\u4e86\u5bf9\u7ec8\u672b\u671f\u75c5\u4eba\u662f\u5426\u5b9e\u65bd CPR \u7b49\u7ef4\u6301\u751f\u547d\u6cbb\u7597\u7684\u8ba8\u8bba\u3002\u897f\u65b9\u591a\u6570\u56fd\u5bb6\u63d0\u5021\uff0c\u8fd9\u7c7b\u75c5\u4eba\u63d0\u524d\u7b7e\u7f72\u300c\u4e0d\u518d\u5fc3\u80ba\u590d\u82cf\u300d<\/span>\uff08do not resuscitation , DNR\uff09<\/span>\u6587\u4ef6\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u7f8e\u56fd\u7ebd\u7ea6\u5dde\u65e9\u5728 1987 \u5e74\u5373\u5df2\u5236\u5b9a\u300a\u7f8e\u56fd\u4e0d\u65bd\u884c\u5fc3\u80ba\u590d\u82cf\u672f\u6cd5\u300b\uff0c\u622a\u81f3\u76ee\u524d\uff0c\u7f8e\u56fd\u662f DNR \u5e94\u7528\u7387\u6700\u9ad8\u7684\u56fd\u5bb6\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u5927\u90e8\u5206 ICU \u7684\u7ec8\u672b\u671f\u75be\u75c5\u75c5\u4eba\uff0c\u5728\u6b7b\u4ea1\u524d\u90fd\u5df2\u7b7e\u7f72\u4e86 DNR\u3002\u56e0\u6b64\uff0c\u5bf9\u8fd9\u7c7b\u75c5\u4eba\u4e0d\u5b9c\u5b9e\u65bd\u5fc3\u80ba\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

\n
\n
\n
\n
\n


<\/span><\/p>\n

2. \u521b\u4f24\u5bfc\u81f4\u7684\u5fc3\u640f\u9aa4\u505c<\/span><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u521b\u4f24\u662f\u5916\u90e8\u66b4\u529b\u539f\u56e0\u5bfc\u81f4\u7684\u673a\u4f53\u673a\u68b0\u6027\u635f\u4f24\u3002\u56e0\u521b\u4f24\u5bfc\u81f4\u7684\u6b7b\u4ea1\uff0c\u5c45\u513f\u7ae5\u548c\u9752\u58ee\u5e74\u6b7b\u4ea1\u7684\u7b2c 1 \u4f4d\u3002<\/span><\/p>\n


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\u975e\u5e38\u4e25\u91cd\u7684\u521b\u4f24\u4f1a\u5bfc\u81f4\u5fc3\u640f\u9aa4\u505c\uff0c\u591a\u89c1\u4e8e\u4e25\u91cd\u7684\u9885\u8111\u635f\u4f24<\/span><\/span><\/strong>\uff08\u6307\u4ee4\u7cfb\u7edf\u4e25\u91cd\u635f\u5bb3\uff09<\/span><\/span>\u3001\u91cd\u8981\u810f\u5668\u5982\u5fc3\u810f\u635f\u4f24<\/span><\/strong>\uff08\u52a8\u529b\u7cfb\u7edf\u635f\u574f\uff09<\/span>\u3001\u5927\u8840\u7ba1\u635f\u4f24<\/span><\/strong>\uff08\u5bb9\u7eb3\u7cfb\u7edf\u635f\u4f24\uff09<\/span>\u53ca\u4e25\u91cd\u5931\u8840<\/span><\/strong>\uff08\u4f20\u9001\u4ecb\u8d28\u7f3a\u5931\uff09<\/span>\u3002<\/span><\/strong><\/p>\n


<\/span><\/p>\n

\u56e0\u6b64\uff0c\u8fd9\u4e9b\u95ee\u9898\u90fd\u4e0d\u662f\u5b9e\u65bd\u5fc3\u80ba\u590d\u82cf\u80fd\u591f\u89e3\u51b3\u7684\uff0c\u8fd9\u6837\u7684\u75c5\u4eba\u4e00\u65e6\u53d1\u751f\u5fc3\u640f\u9aa4\u505c\uff0c\u9884\u540e\u5f88\u5dee\u3002<\/span><\/p>\n


<\/span><\/strong><\/p>\n

\u636e\u6587\u732e\u62a5\u9053\uff1a<\/strong><\/span><\/p>\n


<\/strong><\/span><\/p>\n

\u521b\u4f24\u6027\u5fc3\u810f\u505c\u640f\u662f\u5f71\u54cd CPR \u75c5\u4eba\u9884\u540e\u7684\u72ec\u7acb\u5371\u9669\u56e0\u7d20\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u8fd9\u7c7b\u75c5\u4eba\u7ecf CPR \u540e\u7684\u51fa\u9662\u5b58\u6d3b\u7387\uff0c\u663e\u8457\u4f4e\u4e8e\u975e\u521b\u4f24\u6027\u5fc3\u810f\u505c\u640f\u3002\u4e14\u7edd\u5927\u90e8\u5206\u9662\u5916\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c\u75c5\u4eba\uff0c\u90fd\u6b7b\u4e8e\u53d1\u75c5\u73b0\u573a\u3002<\/span><\/p>\n


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\u75c5\u4eba\u5982\u679c\u80fd\u591f\u5f97\u5230\u53ca\u65f6\u6709\u6548\u7684\u624b\u672f\u6cbb\u7597\u53ca\u6b62\u8840\uff0c\u53ef\u80fd\u8fd8\u6709\u751f\u5b58\u5e0c\u671b\uff0c\u4f46\u8fd9\u6837\u7684\u60c5\u51b5\u6781\u5c11\u53d1\u751f\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u56e0\u6b64\u5bf9\u4e25\u91cd\u521b\u4f24\u75c5\u4eba\uff0c\u5e94\u7acb\u5373\u8f6c\u8fd0\uff0c\u4e89\u5206\u593a\u79d2\u9001\u533b\u9662\u6551\u6cbb\uff0c\u7ea0\u6b63\u4e86\u5bfc\u81f4\u5fc3\u640f\u9aa4\u505c\u7684\u53ef\u9006\u539f\u56e0<\/span>\uff08\u5982\u4f4e\u8840\u5bb9\u91cf\u3001\u5fc3\u5305\u586b\u585e\u3001\u5f20\u529b\u6027\u6c14\u80f8\u7b49\uff09<\/span>\u540e\uff0c\u90e8\u5206\u75c5\u4eba\u6709\u5e0c\u671b\u5b58\u6d3b\u3002<\/span><\/p>\n


<\/span><\/p>\n

\"\u5fc3\u810f\u505c\u640f\u90fd\u5f97\u5fc3\u80ba\u590d\u82cf\uff1f\u8fd9<\/p>\n


<\/span><\/p>\n

\u6709\u9274\u4e8e\u6b64\uff0c2003 \u5e74\uff0c\u7f8e\u56fd\u6025\u6551\u533b\u7597\u670d\u52a1\u533b\u5e08\u534f\u4f1a<\/span>\uff08NAEMSP\uff09<\/span>\u548c\u7f8e\u56fd\u5916\u79d1\u533b\u5e08\u534f\u4f1a\u521b\u4f24\u59d4\u5458\u4f1a<\/span>\uff08ACS-COT\uff09<\/span>\u53d1\u51fa\u4e86\u300c\u521b\u4f24\u6027\u547c\u5438\u5fc3\u8df3\u9aa4\u505c\uff1a\u9662\u524d\u6025\u6551\u4e0d\u4e88\u590d\u82cf\u6216\u7ec8\u6b62\u590d\u82cf\u6307\u5357\u300d<\/strong>\u7684\u8054\u5408\u58f0\u660e\uff0c\u5e76\u5c06\u5176\u7eb3\u5165\u7f8e\u56fd\u521b\u4f24\u6025\u6551\u4f53\u7cfb\u8bc4\u4ef7\u6807\u51c6\u3002<\/span><\/p>\n


<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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\u6839\u636e\u4e0a\u8ff0\u6807\u51c6\uff0c\u5bf9\u6210\u5e74\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c\u75c5\u4eba\uff0c\u7b26\u5408\u4e0b\u8ff0\u60c5\u51b5\u8005\u4e0d\u4e88\u590d\u82cf\u6216\u7ec8\u6b62\u590d\u82cf\uff1a<\/strong><\/span><\/p>\n


<\/p>\n

1\uff09\u9662\u524d\u6025\u6551\u4eba\u5458\u5230\u8fbe\u73b0\u573a\u65f6\uff0c\u5bf9\u4efb\u4f55\u949d\u6027\u521b\u4f24\uff0c\u65e0\u547c\u5438\u53ca\u8109\u640f\uff0c\u65e0\u5fc3\u7535\u6d3b\u52a8\u7684\u75c5\u4eba\u53ef\u4ee5\u4e0d\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

2\uff09\u5bf9\u7a7f\u900f\u4f24\u75c5\u4eba\uff0c\u53d1\u73b0\u65e0\u547c\u5438\u3001\u65e0\u8109\u640f\u65f6\uff0c\u5e94\u8fc5\u901f\u8bc4\u4f30\u6709\u65e0\u5176\u4ed6\u751f\u547d\u8ff9\u8c61\uff0c\u5982\u77b3\u5b54\u53cd\u5c04\u3001\u81ea\u4e3b\u8fd0\u52a8\u3001\u6216\u5fc3\u7535\u56fe\u60c5\u51b5\u3002\u5982\u6709\u4ee5\u4e0a\u4efb\u4f55\u751f\u547d\u8ff9\u8c61\uff0c\u5e94\u7acb\u5373\u8fdb\u884c\u590d\u82cf\u5e76\u9001\u5f80\u5c31\u8fd1\u533b\u9662\u6025\u8bca\u90e8\u6216\u521b\u4f24\u4e2d\u5fc3\uff1b\u5982\u65e0\u4e0a\u8ff0\u4efb\u4f55\u751f\u547d\u8ff9\u8c61\uff0c\u53ef\u4e0d\u4e88\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

3\uff09\u4e0e\u751f\u547d\u660e\u663e\u4e0d\u76f8\u79f0\u7684\u7a7f\u900f\u6027\u6216\u949d\u6027\u635f\u4f24\uff0c\u5982\u5934\u6216\u8eab\u4f53\u79bb\u65ad\u8005\u4e0d\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

4\uff09\u7a7f\u900f\u4f24\u6216\u949d\u6027\u4f24\u60a3\u8005\u6709\u8109\u640f\u6d88\u5931\u65f6\u95f4\u8fc7\u957f\u7684\u8868\u73b0\uff08\u5982\u9752\u9ed1\u8272\u3001\u5c38\u50f5\u3001\u8150\u89e3\uff09\uff0c\u5e94\u4e0d\u4e88\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

5\uff09\u635f\u4f24\u673a\u5236\u4e0e\u4e34\u5e8a\u60c5\u51b5\u4e0d\u76f8\u79f0\u7684\u547c\u5438\u5fc3\u8df3\u9aa4\u505c\u60a3\u8005\uff0c\u63d0\u793a\u6709\u975e\u521b\u4f24\u6027\u539f\u56e0\u5bfc\u81f4\u547c\u5438\u5fc3\u8df3\u9aa4\u505c\uff0c\u5e94\u5b9e\u65bd\u6807\u51c6\u7684\u5fc3\u80ba\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

6\uff09\u5bf9\u9662\u524d\u6025\u6551\u4eba\u5458\u76ee\u51fb\u7684\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c\uff0c\u7ecf\u8fc7 15 \u5206\u949f\u7684 CPR \u4ecd\u62a2\u6551\u4e0d\u6210\u529f\u7684\u75c5\u4eba\uff0c\u5e94\u7ec8\u6b62\u590d\u82cf\u3002<\/span><\/p>\n


<\/p>\n

7\uff09\u73b0\u573a\u786e\u8bca\u7684\u547c\u5438\u5fc3\u8df3\u9aa4\u505c\u521b\u4f24\u60a3\u8005\uff0c\u5230\u8fbe\u6025\u8bca\u90e8\u6216\u521b\u4f24\u4e2d\u5fc3\u7684\u65f6\u95f4\u8d85\u8fc7 15 \u5206\u949f\uff0c\u5e94\u89c6\u4e3a\u65e0\u6cd5\u62a2\u6551\uff0c\u5e94\u7ec8\u6b62\u590d\u82cf\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/blockquote>\n<\/section>\n<\/section>\n

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<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u540c\u6837\u5730\uff0c\u300a2016 \u5fc3\u80ba\u590d\u82cf\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u300b\u6307\u51fa\uff0c\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c\u5728\u4ee5\u4e0b\u60c5\u51b5\u4e0b\u53ef\u4ee5\u653e\u5f03\u590d\u82cf\uff1a\u5728\u6700\u521d\u7684 15min \u5185\u5df2\u65e0\u751f\u547d\u8ff9\u8c61\uff1b<\/span>\u5982\u65ad\u9885\u3001\u5fc3\u810f\u8d2f\u901a\u4f24\u3001\u8111\u7ec4\u7ec7\u635f\u5931\u7b49\u7684<\/span>\u4e25\u91cd\u521b\u4f24\u65e0\u6cd5\u5b58\u6d3b\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u9662\u524d\u6025\u6551\u7684\u65f6\u95f4\uff0c\u4e0e\u4e25\u91cd\u521b\u4f24\u548c\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c<\/span><\/strong>\uff08 TCA <\/span>\uff09<\/span>\u7684\u9884\u540e\u5448\u8d1f\u76f8\u5173\u3002\u6545\u5bf9\u4e8e\u8fd9\u6837\u7684\u75c5\u4eba\uff0c\u5feb\u901f\u8f6c\u8fd0\u81f3\u5173\u91cd\u8981\uff01<\/span><\/strong><\/p>\n


<\/p>\n

\u6ce8\uff1a<\/span><\/strong><\/span>\u521b\u4f24\u5bfc\u81f4\u6324\u538b\u7efc\u5408\u5f81\u75c5\u4eba\u53d1\u751f\u7684\u5fc3\u640f\u9aa4\u505c\u4e0d\u5728\u6b64\u4f8b\u3002\u8fd9\u662f\u7531\u4e8e\u8be5\u5fc3\u640f\u9aa4\u505c\u662f\u5927\u91cf\u808c\u8089\u7ec4\u7ec7\u7834\u574f\uff0c\u7ec6\u80de\u5185\u8840\u94be\u5927\u91cf\u6ea2\u51fa\u9020\u6210\u7684\u9ad8\u8840\u94be\u5bfc\u81f4\u5fc3\u640f\u9aa4\u505c\u3002<\/span><\/p>\n


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\u5bf9\u8fd9\u7c7b\u75c5\u4eba\u5e94\u5b9e\u65bd\u6301\u7eed\u590d\u82cf\uff0c\u540c\u65f6\u91c7\u53d6\u964d\u8840\u94be\u63aa\u65bd\uff08\u5982\u7ed9\u4e88\u8461\u8404\u7cd6\uff0b\u80f0\u5c9b\u7d20\u3001\u9499\u5242\u3001\u78b3\u9178\u6c22\u94a0\u3001\u900f\u6790\u7b49\uff09\uff0c\u53ef\u80fd\u75c5\u4eba\u8fd8\u6709\u4e00\u7ebf\u751f\u673a\u3002<\/span><\/p>\n


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3. \u5931\u8840\u5bfc\u81f4\u7684\u5fc3\u640f\u9aa4\u505c<\/span><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u5728\u521b\u4f24\u6027\u5fc3\u640f\u9aa4\u505c\u4e2d\uff0c\u5931\u8840\u5360 48%\u3002\u5931\u8840\u5bfc\u81f4\u5fc3\u640f\u9aa4\u505c\u7684\u673a\u7406\u662f\u7531\u4e8e\u75c5\u4eba\u7684\u5faa\u73af\u8840\u91cf\u5df2\u7ecf\u4e25\u91cd\u4e0d\u8db3\uff0c\u5176\u51a0\u8109\u4f9b\u8840\u4e5f\u4e25\u91cd\u4e0d\u8db3\uff0c\u6545\u5fc3\u640f\u56e0\u7f3a\u4e4f\u6c27\u6c14\u53ca\u80fd\u91cf\u4f9b\u5e94\u800c\u505c\u6b62\u3002<\/span><\/p>\n


<\/p>\n

\u5931\u8840\u75c5\u4eba\u4e00\u65e6\u53d1\u751f\u5fc3\u640f\u505c\u6b62\uff0c\u8bf4\u660e\u5176\u5931\u8840\u91cf\u5df2\u7ecf\u5230\u8fbe\u81f4\u547d\u7684\u7a0b\u5ea6\uff0c<\/span>\u6b64\u65f6\u7684\u6700\u4f73\u6cbb\u7597\u63aa\u65bd\u662f\u91c7\u7528\u635f\u4f24\u63a7\u5236\u6027\u590d\u82cf<\/span><\/span><\/strong>\uff08DCR\uff09<\/span><\/span>\uff0c\u5373\u624b\u672f\u6b62\u8840\u548c\u8f93\u8840\uff0c<\/span><\/strong>\u4ee5\u6062\u590d\u8840\u6db2\u5faa\u73af\u5bb9\u7eb3\u7cfb\u7edf\u7684\u5b8c\u6574\u6027\u548c\u8865\u5145\u8840\u6db2\u5faa\u73af\u7684\u4f20\u9001\u4ecb\u8d28\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u800c\u8fd9\u4e24\u9879\u5185\u5bb9\u5728\u9662\u524d\u90fd\u65e0\u6cd5\u5b9e\u73b0\uff0c\u5728\u73b0\u573a\u5b9e\u65bd\u5fc3\u80ba\u590d\u82cf\u662f\u65e0\u7684\u653e\u77e2\uff0c\u600e\u4e48\u53ef\u80fd\u4ea7\u751f\u7597\u6548\u5462\uff1f<\/span><\/p>\n


<\/span><\/p>\n

\u5bf9\u4e8e\u4e25\u91cd\u521b\u4f24\u53ca\u5931\u8840\u5bfc\u81f4\u7684\u5fc3\u640f\u9aa4\u505c\u75c5\u4eba\uff0c\u9662\u524d\u505c\u7559\u7684\u65f6\u95f4\u8d8a\u77ed\u5b58\u6d3b\u7387\u8d8a\u9ad8\uff0c\u8fd8\u662f\u5e94\u8be5\u7acb\u5373\u8f6c\u8fd0\uff0c\u9001\u75c5\u4eba\u53bb\u533b\u9662\u3002<\/span><\/strong><\/p>\n


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4. \u4e2d\u67a2\u6027\u75be\u75c5\u5bfc\u81f4\u7684\u5fc3\u640f\u9aa4\u505c<\/span><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u4e2d\u67a2\u6027\u5fc3\u640f\u9aa4\u505c\u7684\u51fa\u73b0\u8bf4\u660e\u8840\u6db2\u5faa\u73af\u7684\u6307\u4ee4\u7cfb\u7edf\u53d1\u751f\u4e86\u4e25\u91cd\u75c5\u53d8\uff0c\u5982\u8111\u5e72\u51fa\u8840\u3001\u4e25\u91cd\u7684\u9885\u8111\u635f\u4f24\u7b49\u3002<\/span><\/strong><\/p>\n


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\u800c\u5fc3\u80ba\u590d\u82cf\u662f\u9488\u5bf9\u5fc3\u810f\u7684\uff0c\u867d\u7136\u6709\u65f6\u542f\u52a8\u4e86\u6709\u6548\u7684\u88ab\u52a8\u8840\u6db2\u5faa\u73af\uff0c\u4f46<\/span>\u7531\u4e8e\u4e3b\u8981\u75c5\u53d8\u5728\u8111\u800c\u4e0d\u5728\u5fc3\u810f\uff0c\u6545\u8fd9\u79cd\u8840\u6db2\u5faa\u73af\u662f\u7ef4\u6301\u4e0d\u4f4f\u7684\uff0c\u75c5\u4eba\u7684\u9884\u540e\u5f88\u5dee\u3002<\/span><\/p>\n


<\/span><\/p>\n

\u56e0\u6b64\uff0c\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u4e2d\u67a2\u6027\u5fc3\u640f\u9aa4\u505c\u4e0d\u662f\u5fc3\u80ba\u590d\u82cf\u7684\u9002\u5e94\u8bc1\u3002<\/span><\/p>\n


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\u4f46\u662f\u5728\u4e00\u4e9b\u5c11\u6570\u60c5\u51b5\u4e0b\uff0c\u75c5\u4eba\u7684\u5fc3\u640f\u9aa4\u505c\u662f\u7531\u4e8e\u4e2d\u67a2\u7684\u5e94\u6fc0<\/span>\uff0c\u6b64\u65f6\u5b9e\u65bd\u5fc3\u80ba\u590d\u82cf\u7ef4\u6301\u8840\u6db2\u5faa\u73af\uff0c\u5f85\u75c5\u4eba\u9002\u5e94\u4e86\u5e94\u6fc0\u56e0\u7d20\u540e\u5176\u5fc3\u810f\u53ef\u80fd\u6062\u590d\u640f\u52a8\uff0c\u53ef\u80fd\u8fd8\u6709\u751f\u8fd8\u5e0c\u671b\u3002<\/span><\/p>\n


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5. \u75c5\u4eba\u4e8b\u5148\u5177\u5907\u300c\u4e0d\u5e0c\u671b\u590d\u82cf\u58f0\u660e\u300d<\/span><\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u75c5\u4eba\u4e8b\u5148\u5177\u5907\u4e0d\u5e0c\u671b\u590d\u82cf\u7684\u8bf4\u660e\u6216\u6307\u4ee4\uff0c\u5373 Do Not Attempt Resuscitation<\/span>\uff08DNAR\uff09<\/span>order\u3002<\/span><\/p>\n


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\u8fd9\u4e2a\u6307\u4ee4\u7531\u6267\u4e1a\u533b\u5e08\u6216\u5f53\u5730\u6307\u5b9a\u7684\u7ba1\u7406\u90e8\u95e8\u51fa\u5177\uff0c\u5e76\u5177\u5907\u6709\u6548\u7684\u7b7e\u540d\u548c\u65e5\u671f\u65b9\u80fd\u751f\u6548\u3002\u901a\u8fc7\u8fd9\u79cd\u65b9\u5f0f\uff0c\u51cf\u5c11\u65e0\u6548\u590d\u82cf\u7684\u6570\u91cf\u3002<\/span><\/p>\n


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\u2014\u2014\u672c\u6587\u4f5c\u8005\uff1a\u5317\u4eac\u6025\u6551\u4e2d\u5fc3\u51af\u5e9a\u4e3b\u4efb\u533b\u5e08<\/span><\/p>\n


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\u4f46\u662f\u76ee\u524d\uff0c\u5fc3\u80ba\u590d\u82cf\u672f\u4ecd\u7136\u5b58\u5728\u5927\u91cf\u6ee5\u7528\u60c5\u51b5\u3002\u5f88\u591a<\/span>\u4e0d\u9002\u5408\u5fc3\u80ba\u590d\u82cf\u7684\u75c5\u4eba\u63a5\u53d7\u4e86\u590d\u82cf\uff0c\u5374\u5e76\u6ca1\u6709\u56e0\u6b64\u83b7\u76ca\u3002<\/span><\/p>\n


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\u6709\u65f6\uff0c\u5c3d\u7ba1\u75c5\u4eba\u6682\u4e14\u6062\u590d\u4e86\u5fc3\u640f\u53ca\u547c\u5438\uff0c\u4f46\u5728\u77ed\u671f\u5185\u8fd8\u662f\u6ca1\u80fd\u9003\u8131\u6b7b\u4ea1\u7684\u547d\u8fd0\u3002\u7ed3\u679c\u5373\u6d6a\u8d39\u4e86\u4eba\u529b\u3001\u7269\u529b\u3001\u8d22\u529b\u548c\u65f6\u95f4\uff0c\u53c8\u589e\u52a0\u4e86\u75c5\u4eba\u7684\u75db\u82e6\uff0c\u4f7f\u75c5\u4eba\u4e27\u5931\u4e86\u6700\u540e\u7684\u5c0a\u4e25\u2026\u2026<\/span><\/p>\n


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\u56e0\u6b64\uff0c\u5bf9\u4e8e\u5fc3\u640f\u9aa4\u505c\u7684\u75c5\u4eba\uff0c\u6211\u4eec\u9996\u5148\u8fd8\u662f\u8981\u660e\u786e\u75c5\u56e0\uff0c\u6839\u636e\u4e0d\u540c\u60c5\u51b5\u91c7\u53d6\u6b63\u786e\u7684\u6551\u6cbb\u63aa\u65bd\u3002<\/span><\/p>\n


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\u5f53\u60b2\u75db\u7684\u5bb6\u5c5e\u5f3a\u70c8\u8981\u6c42\u5fc3\u80ba\u590d\u82cf\u65f6\uff0c\u6211\u4eec\u4e0d\u5f97\u4e0d\u82b1\u4e0a\u5927\u91cf\u7684\u65f6\u95f4\u3001\u4eba\u529b\u548c\u533b\u7597\u8d44\u6e90\uff0c\u8fdb\u884c\u65e0\u610f\u4e49\u7684\u5fc3\u80ba\u590d\u82cf\u3002<\/span><\/p>\n


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\u672c\u6587\u9996\u53d1\uff1a\u5fc3\u8840\u7ba1\u65f6\u95f4<\/span><\/p>\n

\u7f16\u8f91\uff1a\u5efa\u6ce2\u3001\u5468\u60a6<\/span><\/p>\n

\u63d2\u56fe\u3001\u9898\u56fe\u6765\u6e90\uff1a\u56fe\u866b\u521b\u610f<\/span><\/p>\n


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\"\u5fc3\u810f\u505c\u640f\u90fd\u5f97\u5fc3\u80ba\u590d\u82cf\uff1f\u8fd9<\/p>\n

\"\u5fc3\u810f\u505c\u640f\u90fd\u5f97\u5fc3\u80ba\u590d\u82cf\uff1f\u8fd9<\/p>\n

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\u53c2\u8003\u6587\u732e\uff1a<\/strong><\/span><\/p>\n

1. Peter A. Meaney\uff0c Bentley J. Bobrow\uff0c Mary E. Mancini\uff0c Jim Christenson\uff0c Allan R. de Caen\uff0c Farhan Bhanji\uff0c Benjamin S. Abella\uff0c Monica E. Kleinman\uff0c Dana P. Edelson\uff0c Robert A. Berg\uff0c Tom P. Aufderheide\uff0c Venu Menon and Marion Leary. CPR Quality: Improving Cardiac Resuscitation Outcomes both Inside and Outside the Hospital: A Consensus Statement From the American Heart Association. Circulation. published online June 25\uff0c 2013;http:\/\/circ.ahajournals.org\/content\/early\/2013\/06\/25\/CIR.0b013e31829d8654<\/span><\/p>\n

2. \u5218\u68a6\u5a55 \u6731\u4eac\u6148. \u300c\u4e0d\u518d\u5fc3\u80ba\u590d\u82cf\u300d\u5728\u91cd\u75c7\u76d1\u62a4\u5ba4\uff08ICU\uff09\u7684\u5e94\u7528\u8fdb\u5c55 [J]. \u4e2d\u534e\u62a4\u7406\u6742\u5fd7\uff0c2016\uff0c51\uff085\uff09\uff1a613-617.<\/span><\/p>\n

3. Holley  A,Kravet  SJ,Cordts G.Documentation  of code  status and discussion of goals of care in gravely ill hospitalized patients[J].J Crit Carc,2009,24(2):288-292.<\/span><\/p>\n

4. Cohen RI,Liskcr GN,Eichorn A,et al. The impact of do-not-resuscitate order  on triage decisions to a medical intensive care unit [J].JCrit Carc, 2009, 24(2): 311-315.<\/span><\/p>\n

5. \u90fd\u5b9a\u5143. \u521b\u4f24\u6027\u547c\u5438\u5fc3\u8df3\u9aa4\u505c\uff1a\u9662\u524d\u6025\u6551\u4e0d\u4e88\u590d\u82cf\u6216\u7ec8\u6b62\u590d\u82cf\u6307\u5357 [J]. \u521b\u4f24\u5916\u79d1\u6742\u5fd7\uff0c2010\uff0c12\uff0c\uff081\uff09\uff1a94-95.<\/span><\/p>\n

6. \u9ec4\u6d77\u71d5. Utstein \u6a21\u5f0f\u4e0b\u5fc3\u6e90\u6027\u5fc3\u810f\u9aa4\u505c\u5fc3\u80ba\u590d\u82cf\u7684\u5371\u9669\u56e0\u7d20\u7814\u7a76 [J]. \u5185\u79d1\u6025\u5371\u91cd\u75c7\u6742\u5fd7\uff0c2014\uff0c20\uff086\uff09\uff1a379-381.<\/span><\/p>\n

7.Hopson LR\uff0cHirsh E\uff0cDelgado J\uff0cet a1\uff0eGuidelines for withholding or termination of resuscitation in prehospital traumatic cardiopulmonary arrest\uff1ajoint position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma[J]\uff0eJ Am Coll Surg\uff0c2003\uff0c196(1)\uff1a106-112\uff0e<\/span><\/p>\n

8. \u4e2d\u56fd\u7814\u7a76\u578b\u533b\u9662\u5b66\u4f1a\u5fc3\u80ba\u590d\u82cf\u5b66\u4e13\u4e1a\u59d4\u5458\u4f1a. 2016 \u4e2d\u56fd\u5fc3\u80ba\u590d\u82cf\u4e13\u5bb6\u5171\u8bc6 [J]. \u4e2d\u534e\u5371\u91cd\u75c5\u6025\u6551\u533b\u5b66\uff0c 2016\uff0c28\uff0812\uff09\uff1a1059-1079.<\/span><\/p>\n

9. Truhlar A, Deakin CD, Soar, J, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4.Cardiac arrest in special circumstances[J]. Resuscitation, 2015 , 95:148-201.<\/span><\/p>\n

10. Spabn DR, Bouillon B, Cerny V, et al.  Management of bleeding and coagulopathy following major trauma: an updated European guideline [J] .Crit Care,2013,17(2) :76.<\/span><\/p>\n

11. JohnM. Field, Co-Chair; Mary Fran Hazinski, Co-Chair; Michael R. Sayre; Leon Chameides; StephenM. Schexnayder; RobinHemphill; Ricardo A.Samson; John Kattwinkel; RobertA.Berg; Farhan Bhanji; DianaM. Cave; EdwardC.Jauch; PeterJ. Kudenchuk; RobertW. Neumar; Mary Ann Peberdy; Jeffrey M. Perlman; Elizabeth Sinz; AndrewH. Travers; MarcD. Berg; JohnE. Billi; Brian Eigel; Robert W. Hickey; Monica E. Kleinman; Mark S. Link; Laurie J. Morrison; Robert E. O\u300fConnor; Michael Shuster; Clifton W. Callaway; Brett Cucchiara; Jeffrey D. Ferguson; Thomas D. Rea; Terry L. Vanden Hoek. Part1: Executive Summary\uff1a2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Circulation. 2010; 122[suppl 3]: s640-s656.<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"

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