CPR操作步骤包括哪些 CPR的全步骤

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CPR(Cardio-PulmonaryResuscitation)急救操作流程:

1、环顾四周,环境安全
如果病人触电、火灾现场、坠物危险、毒气中毒、地形险恶,则不能冒然行动。
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2、一手扶颈肩部,一手轻拍肩部。
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3、一手扶颈肩部,一手扶一侧胯部,整体翻转,平放患者于平板床(平地)上。
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4、检查颈动脉搏动和自主呼吸,耳听面感,观察胸廓起伏。
1001,1002,1003,1004,1005,1006,1007,患者颈动脉搏动和自主呼吸消失。
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5、马上进行胸外按压(C,Chestcompression)。先解衣露胸。
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6、头转向一侧,清除口鼻腔异物,取出义齿。
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7、仰头举颏,CE法面罩通气2次,每次1秒钟。
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8、继续胸外按压和人工通气,两者比例为30:2,完成5个CPR循环。
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9、再次检查颈动脉搏动和自主呼吸。耳听面感,观察胸廓起伏。再以CE法面罩通气2次,每次1秒钟。
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10、穿好衣服,扣好衣扣。最后,复苏成功,CPR操作完毕。
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CPR,即心肺复苏的关键步骤有三步,也就是“CAB”。
分别是C,胸外按压;A,开放气道;B,人工呼吸。
具体操作如下:当发现有人倒地后首先检查意识,在确认患者无意识后呼救或请人呼救并检查生命体征(非专业人员检查呼吸,专业人员同时检查呼吸和脉搏,十秒内检查完毕,未感知呼吸脉搏或无法确认则认为已经发生心跳呼吸停止)。之后开始心肺复苏。
首先为三十次胸外按压,按压位置为胸骨下段,按压深度5~6厘米,频率100~120次/分,按压时手臂保持伸直,指尖翘起。后打开气道人工呼吸两次,每次吹气超过一秒,保证可见胸廓抬起。如此以30:2的按压通气比进行,五个循环后可以考虑重新评估循环体征,如此反复直至急救人员赶到现场或施救者无力继续。
另外强调其中尤为重要的一点则是保证胸外按压的有效性,胸外按压被认为是心肺复苏中最重要的步骤,按压必须快速而有力,在正确的位置并以正确的频率和深度进行按压,以当前指南要求,胸外按压时应在胸骨下段以100~120次/分的频率按压,深度需大于5厘米而不大于6厘米。按压时手臂保持垂直胸壁,指尖翘起不接触胸壁。另外在人工呼吸时需注意吹气可及胸腹部起伏,但不应通气过度。



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