心肺復(fù)蘇術(shù)(CPR)雙語版課件

心肺腦復(fù)蘇術(shù)（CPCR）

Cardio-pulmonary-cerebralresuscitationChangwenhui

UrologyDepartment

TeleachingpurposesUnderstandingadefinitionofCPCRHowtodetermineaheartbeat，respiratoryarrestandeffectivetargetofCPCRStepstotheimplementationofCPCR教學(xué)大綱

SyllabusCPCR的定義ThedefinitionofCPCR

評(píng)估Assessment

實(shí)施Theimplementation

CPCR復(fù)蘇的有效指標(biāo)和終止復(fù)蘇指標(biāo)EffectiveandterminatetargetofCPCRAssessmentThejudgmentheartbeatandrespiratoryarrestAccompaniedbyasuddenlossofconsciousnessThedisappearanceofthemainarterypulseBreathingarrest

MydriasisPaleorcyanoticskinApexbeatandheartsoundsdisappeared

ThecausecardiacarrestNon-cardiacarrest評(píng)估心跳、呼吸驟停突然意識(shí)喪失大動(dòng)脈搏動(dòng)消失呼吸停止瞳孔散大皮膚蒼白或紫紺心尖搏動(dòng)及心音消失心源性非心源性判斷原因Ruleouttherisksfactors

TodeterminethepatientresponseCallloudlyforhelpEMSSimmediatelyAirwayBackwardandliftedjawlawBackwardandliftednecklawLiftedMandibularlawBreathingMouthtomouthMouthtonoseMouthtonosemouthEndotrachealintubationcirculationABCEffectivetargetCarotidpulseFace:ruddyfromcyanosisConsciousness:eyesmovementBreathing:spontaneousbreathingPupil:smallchangeandlightreflexTerminationtargetBraindeathNon-heart-beatingandthepulse,coupledwithcontinued30min,toterminateCPCRCPCReffectivetargetandthetargetto

terminate心肺腦復(fù)蘇的有效指標(biāo)和終止搶救的指標(biāo)（1）有效指標(biāo)：A、頸動(dòng)脈搏動(dòng)，如停止按壓后脈搏仍然跳動(dòng)B、面色：由發(fā)紺轉(zhuǎn)為紅潤C(jī)、神志：病人眼球活動(dòng)D、呼吸：出現(xiàn)自主呼吸E、瞳孔：由大變小，有對(duì)光反射（2）終止復(fù)蘇的指標(biāo)：A、腦死亡B、心肺復(fù)蘇持續(xù)30min以上仍無心跳、呼吸、脈搏可考慮終止CPCR仰面抬頸法仰面抬頜法托下頜法小結(jié)

summaryCPCR

的定義ThedefinitionofCPCR患者心跳、呼吸的判斷和原因ThecauseandjudgmentofpatientswithheartbeatandrespiratoryarrestCPC