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心跳骤停是一个全球性健康问题,据统计,心跳骤停发生率达每年50/10万~110/10万[1]。2015年,美国心脏协会报告美国每年发生院外心跳骤停(out-of-hospital cardiac arrest,OHCA)约36万人次[2],我国缺少确切数据,估计在50万人次/年以上。目前心肺复苏(cardiopulmonary resuscitation, CPR)已成为全世界急危重症共同关注的话题。现代复苏学起源于20世纪五十年代,2000年AHA在生存链基础上发布首个CPR指南,此后基于最新研究证据,每5年进行一次更新,目前已成为CPR及心血管急救在国际范围内最权威的指南。尽管越来越广泛的研究为指南更新提供了依据,但部分问题证据级别较低,需要进一步更深入探索。本文仅就目前心肺脑复苏初级生命支持存在的几个问题作部分阐述,以期抛砖引玉。
心肺复苏之基本生命支持
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