CPR操作步骤包括哪些

CPR(Cardio-PulmonaryResuscitation)急救操作流程：

1、环顾四周，环境安全

如果病人触电、火灾现场、坠物危险、毒气中毒、地形险恶，则不能冒然行动。

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2、一手扶颈肩部，一手轻拍肩部。

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3、一手扶颈肩部，一手扶一侧胯部，整体翻转，平放患者于平板床（平地）上。

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4、检查颈动脉搏动和自主呼吸，耳听面感，观察胸廓起伏。

1001,1002,1003,1004,1005,1006,1007,患者颈动脉搏动和自主呼吸消失。

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5、马上进行胸外按压(C，Chestcompression)。先解衣露胸。

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6、头转向一侧，清除口鼻腔异物，取出义齿。

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7、仰头举颏，CE法面罩通气2次，每次1秒钟。

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8、继续胸外按压和人工通气，两者比例为30：2，完成5个CPR循环。

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9、再次检查颈动脉搏动和自主呼吸。耳听面感，观察胸廓起伏。再以CE法面罩通气2次，每次1秒钟。

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10、穿好衣服，扣好衣扣。最后，复苏成功，CPR操作完毕。

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2022心肺复苏考试流程口述如下：

1、确认现场环境是否安全。

2、施救者跪于患者右侧肩、胸旁，拍打病人双肩，在病人双耳旁呼喊，判断患者有无意识，确认患者无意识后立即呼救并启动急救系统。松解患者衣裤。

3、判断呼吸、脉搏(抢救者把脸贴近病人口、鼻，感受有无呼吸气流，察看患者胸廓有无起伏，用右手食指、中指触摸颈动脉搏动（患者喉结旁开两指）。判断时间：6-10秒。

4、无呼吸、无脉搏，将病人仰卧于平坦地而或硬板床上，进行胸外心脏按压，按压部位：胸骨中下段1/3交界处。按压间隙要让胸廓充分回弹不得随意中断。如必须中新则不得超过10秒。按压频率为100-120次分，深度5-6cm，按压者手臂伸直，肩、肘、腕要保持在同一直线上，且与患者身体长轴垂直，掌根用力均匀。

5、按压30次后，检查患者日腔有无异物，有异物者将患者头偏向一侧，清除异物，再用压额抬颏法打开气道，怀疑颈椎骨折用双手推举下颌法打开气道。

6、行口对口人工呼吸或球囊而罩通气2次，每次通气量40住600mL。

7、如除颤仪送达，立即心电监测，发现为可除颤心律（无脉性室速和室颤）立即除颤，单向波 360J，双向波 200J。

8、按压通气比例为30：2，持续按压通气。

9、5个循环后判断呼吸，脉搏，无呼吸有脉搏的只通气10-12次/分，有呼吸无脉搏，只进行胸外心脏按压，按压频率为100-120次/分，无呼吸无脉搏，继续以按压通气比例30：2，持续心肺复苏。

10、若系医护人员在场抢救则应建立静脉通进，静脉推注肾上腺素1mq，每3-5分钟重复一次，出现室性心律失常时可用利多卡因或胺碘酮静脉推注。一旦以发现可除颤心律立即除颤。

11、进行气管插管并采取其它高级生命支持措施。

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