星期六 2025年 4月 05日
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旁人突然倒下不醒 是猝死昏厥还是昏迷?

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当旁人突然“碰!”的一声路倒在地,你上前去拍了他、呼喊他名字,却完全没有反应,脑里闪过千百万种不祥的念头,究竟是猝死、昏厥、还是昏迷?

急性意识丧失简单可以分成3种状况:

{1}猝死:心跳突然停止,全身循环停止,无呼吸、无脉搏。

{2}昏厥:有呼吸心跳,但脑部血流暂时失去灌流,几秒或几分钟后就会苏醒。

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{3}昏迷:有呼吸心跳,但大脑醒觉功能因本身,或是其他原因受到抑制,呈现持续性的意识丧失。

眼见旁人倒地不醒,第一时间应收起慌张,大声求助寻求帮忙,赶快报案及招救护车,并拿自动体外电击器(AED)。

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在猝死、昏厥、昏迷中,最危急的情况为猝死,就是病人的心脏突然停止跳动,或是呈现致死心律不整,也就是所谓的心室纤维颤动。

此时,会发现病患不呼吸、失去胸部起伏,颈动脉处也摸不到脉搏搏动,就必须开始操作人工心肺复苏术(CPR),等待AED到场后合并使用,并判断是否需要电击。

人工心肺复苏术 :将病人翻到正面朝上、衣服掀开,朝两乳头连线中点双手并用,用手掌以每分钟至少100下的速度用力压胸。

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