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急性心臟停止와 非開胸 心맛사-지에 의한 心蘇生術

Cardiac Arrest and closed Chest Cardiac Massage

최신의학 1963년 6권 7호 p.13 ~ 20
이화영,
소속 상세정보
이화영 (  ) - 서울대학교 의과대학 외과학교실 마취과

Abstract


Cardiac arrest can occur either as ventricular fibrillation or as ventricular standstill. Since the external cardiac massage was described by W.B. Kouwenhoven and colleagues at the Johns Hopkins University, School of Medicine, there have already been reports from other centers of its successful use in clinical emergencies. The method, which consists of rhythmic manual´ compression over the lower sternum in the supine position, has the great advantage that it requires no apparatus and that it can be applied immediately the patient seen without the necessity of thoracotomy, wherever he happens to be. This report confirms the circulatory efficacy of closed-chest cardiac massage in cases of cardiac arrest. Recently we had five patients of anesthesia-related cardiac standstills in Seoul University Hospital. Among the five patients it was apparently due to a gross overdosage of anesthetic agents(ethyl ether and pentothal sodium) with improper anesthetic management in three cases and to vagal stimulation accompanied-by hypoxia for a case, and the another case by shock. Cardiac ressuscitation by means of closed-chest cardiac massage with positive ventilation through a endotracheal tube inserted for these five cardiac arrested patients were successfully accomplished and there was no evidence of early damage to the central nervous system in them, although prophylaxis may be considered from the patient´s aspect and anesthesiologic procedure. In performance of closed-chest cardiac massage, further therapy such as external defibrillation or cardiac drugs may be´ used, though in all the five cases defibrillation were not necessary.

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