【摘要】现代心肺复苏的方法是在20世纪50－60年代期间逐步形成，他的出现已挽救了众多患者的生命，特别是1955年原天津医学院王源旭教授体外心脏按压和1956年除颤器的应用。1958年8月口对口人工呼吸技术及1960年胸外按压的应用，使心肺复苏的成功率大为提高。1992年“生命链”的新理念是心肺复苏的又一次飞跃。几十年来心肺复苏的主要内容固定为人工通气，心脏按压及电复律。但是各国甚至各地区的复苏标准有所不同。以2005年美国《循环》杂志公布的心肺复苏指南﹙下称指南﹚为依据，作者就心肺复苏的研究进展综述。
【关键词】心肺复苏 研究进展
CPR Research
Zhang Wenjun
【Abstract】Modern methods of cardiopulmonary resuscitation in the 50-60 age during the 20th century, gradually, his emergence has saved the lives of many patients, especially the 1955 original Tianjin Medical College Professor Wang Yuanxu external cardiac massage in 1956 and defibrillator applications. August 1958-mouth resuscitation techniques and in 1960 the application of external chest compression, so that the success rate of CPR greatly improved. 1992 “Life Chain” is a new concept of cardio-pulmonary resuscitation another leap forward.For decades the main elements of cardio-pulmonary resuscitation for a fixed artificial ventilation, cardiac massage and electrical cardioversion. But even countries in all regions of the recovery is different from the standard. In 2005 the United States to “cycle” magazine published by the CPR guidelines (the guidelines) based on the author on the cardio-pulmonary resuscitation research is summarized below.
【Key words】CPRProgress
1胸外心脏按压前无须检查脉搏
过去，在心肺复苏时行胸外心脏按压前常规检查脉搏，现在主张呼吸评估是展开复苏的主要依据无须检查脉搏有无，这是因为在实际操作中即使是专业急救人员也有35%左右的会出现判断错误，同时检查有无脉搏还需要一定的时间。（剩余1711字）