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心肺复苏时肾上腺应作首选,但动物实验证实苯肾上腺素也有效。作者报道在院外约5分钟赶到现场给心脏骤停进行心肺复苏的65名病人,重点比较肾上腺素和苯肾上腺素的疗效。全部病人有以下特点:(1)年龄超过15岁;(2)均系非创伤病人;(3)心脏呈室性细颤、心停搏或心电机械分离(EMD)。全部病人均先行气管内插管,吸35～45％氧,静注7.5％碳酸氢钠1mEq/kg。同时给病人静注肾上腺素0.5mg/5ml或苯肾上腺素1mg/5ml,无效时可再次用药,如果
Cardiopulmonary resuscitation adrenal glands should be the first choice, but animal experiments confirmed that phenylephrine is also effective. The authors report 65 patients who arrived at the scene about 5 minutes outside the hospital for cardiopulmonary resuscitation (CPR) and compared the effects of epinephrine and phenylephrine. All patients had the following characteristics: (1) were over 15 years of age; (2) were noninvasive; and (3) had ventricular atrial fibrillation, cardioplegia or electrocardiographic (EMD) separation. All patients were first intratracheal intubation, suction 35 ~ 45% oxygen, intravenous injection of 7.5% sodium bicarbonate 1mEq / kg. At the same time to the patient intravenous injection of epinephrine 0.5mg / 5ml or phenylephrine 1mg / 5ml, ineffective when the drug can be used again, if