[Clinical application of cardiopulmonary resuscitation with abdominal lifting and compression in emergency treatment].

• DOI: 10.3760/cma.j.issn.2095-4352.2017.03.014
• Publication Date: 2017-03-01
• Authors: Jie Wang; Guolan Wu; Ronghua Yang; Yonghong Wang; Shunping Wang; Honglin Li; Shouhui Wang; Manguo Zhao; Xusheng Li; Yan Peng
• Keywords: Emergency Medical Services; Lifting; Abdomen; Pressure; Humans; Cardiopulmonary Resuscitation; Heart Arrest

To investigate the clinical value of cardiopulmonary resuscitation (CPR) with abdominal lifting and compression on patients breathing cardiac arrest induced by severe chest trauma.Sixty-six trauma admitted to General Hospital Jingyuan Coal Industry Group Company from October 2011 2016 were enrolled, they divided into group (n = 32) unarmed 34) random number table. The in both two groups given airway open, respiration support, defibrillation treatment, venous access establishment, vasoactive drugs application other conventional treatments. On basis routine device 100 times/min frequency continuously alternating press down lift abdomen, amplitude pressing pulling 3-5 cm below or above original level abdomen. Those CPR method hand, depth subsidence was same as group. Heart rate (HR) arterial blood gas at 30 minutes after well success compared between groups. changes HR, mean pressure (MAP) pulse oxygen saturation (SpO2) before 60 dynamically observed restoration spontaneous circulation (ROSC) treatment.Compared group, HR (bmp: 136.13±6.14 vs. 148.45±5.16) partial carbon dioxide [PaCO2 (mmHg, 1 mmHg 0.133 kPa): 48.51±2.60 62.51±2.50] significantly lowered, (PaO2) increased (mmHg: 88.07±3.92 74.12±2.12, all P < 0.05). Four ROSC found 2 higher than that (12.50% 5.82%, In 4 showed a downward trend an upward MAP SpO2 time prolongation.The effect is better CPR, which great for life saving trauma.