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心搏骤停急救时肾上腺素最好经中心静脉注入,如不可能做到,美国心脏学会和欧州复苏协会都主张用2～3倍静脉注射剂量经气管内注入。本文比较这两种给药途径的效果。观察对象是16例拟行冠状动脉搭桥术的病人。凡有不稳定的或严重的心绞痛、心律失常、严重高血压、近期心肌梗塞(近12个月内发生)或充血性心力衰竭病史者及超声心动图显示左室功能低下(射血分数不到50％)或显著瓣膜病的病人都予以剔除。
Emergency cardiac arrest epinephrine is best injected through the central vein, if not impossible, the American Heart Association and the European Society of recovery advocated with 2 to 3 times the intravenous dose injected through the endotracheal. This article compares the effectiveness of these two routes of administration. The observation was performed in 16 patients undergoing coronary artery bypass surgery. Patients with unstable or severe angina, arrhythmia, severe hypertension, recent myocardial infarction (occurring within the last 12 months), or a history of congestive heart failure and echocardiography showed left ventricular dysfunction (ejection fraction less than 50%) or significant valvular disease were removed.