论文部分内容阅读
在心肺复苏期间使用大剂量肾上腺素与标准剂量肾上腺素相比,有增加心肌和脑血流,提高冠脉灌注压的优点,但可减少心排血量,引起复苏后即刻的严重高血压和室性心动过速;虽可提高自主循环恢复率,但并不能提高存活率,也不能改善脑功能。因此,目前对心搏骤停病人早期还以常规使用标准剂量肾上腺素为宜。
The use of high-dose epinephrine during cardiopulmonary resuscitation compared with standard-dose epinephrine has the advantage of increasing myocardial and cerebral blood flow and increasing coronary perfusion pressure but can reduce cardiac output and cause severe hypertension and room immediately after resuscitation Tachycardia; although it can improve spontaneous circulation recovery rate, but it does not improve the survival rate, it can not improve brain function. Therefore, the current cardiac arrest patients early routine use of standard doses of epinephrine is appropriate.