对2010AHACPR-ECC指南及相关问题的思考

心肺复苏是院前急救人员的必备技能，是挽救猝死等危急重症患者生命的首要方法。2010美国心脏协会心肺复苏及心血管急救（AHA CPR-ECC）指南发表至今3年有余，广大院前急救人员仍然存在诸多问题和困惑，猝死的复苏成功率也无明显提高，针对这些问题和困惑，笔者提出了相应的看法和建议，包括（1）该不该删去“听、看、感”；（2）判断循环是否应该结合具体情况；（3）施救者位置与体位是否应该标准化；（4）打开气道时施救者手型与位置是否应该标准化；（5）心脏按压频率如何把握；（6）是否应该掐压人中穴；（7）如何提高复苏成功率；（8）心脏按压板的应用问题；（9）医学院校教科书应当与时俱进。研究并解决好以上问题，对我国院前急救实践或有裨益。

The Cogitation of 2010 AHA Guidelines for CPR and ECC

CPR is the essential technique for first aid ,and the first method to save life for sudden death and so on .2010 AHA Guidelines for CPR and ECC have been published more than 3 years ,but many emergency care personnels still have some problems and confusions ,the success rate in sudden death has not been improved evidently .For this problems and confusions ,the author offers some views and suggestions ：（1） Whether if cancelled “look ,listen and feel” for breathing checking ;（2） Whether if depending on local conditions for circulation checking ;（3） Whether if standardized the location and posture of emergency care personnel ;（4） Whether if standardized the hands location and posture of emergency care personnel while opening the airway ;（5） How to handle the rate of chest compressing ;（6） Whether if pinch pressuring the acupoint Renzhong ;（7） How to improving the success rate of CPR ;（8） Pay more attention to the utilizing of CPR board ;（9） The textbooks of medical colleges should advance with the times .Researching and resolved these problems is benefit for the emergency care in our country .