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首页> 外文期刊>The Internet Journal of Rescue and Disaster Medicine >Hemorrhaging Of The Tongue Due To The Use Of A Mechanical Chest Compression Device.
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Hemorrhaging Of The Tongue Due To The Use Of A Mechanical Chest Compression Device.

机译：由于使用机械式胸部按压设备而导致的舌头出血。

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Following a cardiac arrest, high-quality cardiopulmonary resuscitation may improve cardiac and brain resuscitation. The desire to provide optimal chest compressions led to the development of automated mechanical chest compression devices. A 79-year-old man had an out-of-hospital cardiac arrest in a traffic accident. On the patient’s arrival to the hospital, the medical staff used a mechanical chest compression device on him. At autopsy, no petechial hemorrhages were present in his conjunctivae, but hemorrhagic infarctions of the tongue were observed. His death was attributed to skull base fractures. Hemorrhages of the tongue had been observed after chest compressions by automated mechanical devices. Introduction Successful resuscitation depends on a coordinated set of actions, including early cardiopulmonary resuscitation (CPR). High-quality CPR may be important for cardiac and brain resuscitation (1,2,3). Observations of rescue personnel indicate that maintaining consistent compressions is a difficult task (4). In a laboratory setting, trained paramedics unknowingly provide shallower and slower compressions over time (5,6). Chest compressions often do not achieve the guideline recommendations with regard to depth, rate, and hands-off time (7,8). The load-distributing band (LDB) device may be a useful addition to current cardiac arrest treatment options, especially when used early in patients with cardiac arrest who do not respond immediately to a brief period of manual CPR, defibrillation, or both. The AutoPulse Resuscitation System is an LDB circumferential chest compression device with an electrically actuated constricting band on a short backboard. It has been approved by the US Food and Drug Administration to attempt resuscitation of a cardiac arrest. This LDB-CPR device produces greater blood flow to the heart and brain than either manual CPR by trained individuals or an automated mechanical piston CPR device (9,10). Case Report A 79-year-old man had an out-of-hospital cardiac arrest in a traffic accident. A car ran over him. He weighed 58.3 kg. The hospital used an LDB-CPR device (Figure 1), but he died as a result of skull base fractures. Petechial hemorrhages were not present in his conjunctivae. At autopsy, hemorrhages of the tongue were present and had penetrated into the tongue’s muscle tissue (Figure 2).
机译：心脏骤停后，高质量的心肺复苏可以改善心脏和大脑的复苏。提供最佳胸部按压的需求导致了自动机械胸部按压装置的发展。一名79岁的男子在交通事故中院外心脏骤停。患者到达医院后，医务人员在患者身上使用了机械的胸部按压装置。尸检时，他的结膜中没有瘀斑，但观察到舌头有出血性梗塞。他的死亡归因于颅底骨折。通过自动机械装置在胸部受压后观察到舌头出血。简介成功的复苏取决于一系列协调的行动，包括早期心肺复苏（CPR）。高质量的心肺复苏术可能对心脏和脑复苏很重要（1,2,3）。救援人员的观察表明，保持一致的压力是一项艰巨的任务（4）。在实验室环境中，受过训练的医护人员会在不知不觉中随着时间的推移提供较浅和较慢的压缩（5,6）。胸部按压常常无法达到有关深度，速率和放手时间的指导建议（7,8）。负荷分配带（LDB）设备可能是当前心脏骤停治疗方案的有用补充，尤其是在早期对短暂的手动CPR，除颤或两者均无反应的心脏骤停患者中使用时。 AutoPulse复苏系统是一种LDB圆周胸部按压设备，在较短的背板上具有电动收缩带。它已获得美国食品和药物管理局（US Food and Drug Administration）的批准，可以尝试进行心脏骤停的复苏。这种LDB-CPR设备比受过训练的人员进行手动CPR或自动机械活塞CPR设备产生更大的血液流向心脏和大脑（9,10）。病例报告一名79岁男子在交通事故中院外心脏骤停。一辆汽车驶过他。他重58.3公斤。该医院使用了LDB-CPR设备（图1），但由于颅底骨折而死亡。小结膜未出现小儿出血。尸检时出现舌头出血，并已渗入舌头的肌肉组织（图2）。

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