据The Verge报道，根据一项新的研究，心脏病发作的女性得到旁观者心肺复苏救治的可能性更低，因而更可能死亡，这可能是因为人们不愿意接触女性的胸部。一项新的研究调查了2万例心搏骤停病例，发现在公共场所心脏病发作的女性中有39％接受了心肺复苏救治，而男性患者接受心肺复苏的比例则为45％。
可能的结果是，男性生存的可能性高出23％。这项研究成果是在加州阿纳海姆举行的美国心脏协会会议上讨论的。该研究由美国国立卫生研究院和心脏协会资助。
心肺复苏-胸外按压，挽救生命
当发生心搏骤停时，需要对患者马上进行心肺复苏，以防止对患者脑和其他人体重要器官组织的不可逆的损害。超过35万美国人在医院以外的地方出现过心搏骤停的情况。
研究人员不清楚为什么救援人员不太可能帮助女性。但是女性患者和男性患者在家中接受心肺复苏救治的比例几乎没有差异，他们认为原因可能是救治者不太愿意接触不明身份的女性。
十指相扣，挽救生命
按压胸部中间，挽救心脏骤停患者生命
据美联社报道，宾夕法尼亚大学的研究人员Benjamin Abella表示，救援人员可能担心接触女性乳房或移动女性的衣服。
如果您是被救助者，是否会因为挽救生命而发生的接触胸部行为而宁愿拒绝帮助？
如果您是施救者，是否会担心纠纷而放弃救助一个生命？
原文：
ANAHEIM, Calif. (AP) — Women are less likely than men to get CPR from a bystander and more likely to die, a new study suggests, and researchers think reluctance to touch a woman’s chest might be one reason.
Only 39 percent of women suffering cardiac arrest in a public place were given CPR versus 45 percent of men, and men were 23 percent more likely to survive, the study found.
It involved nearly 20,000 cases around the country and is the first to examine gender differences in receiving heart help from the public versus professional responders.
“It can be kind of daunting thinking about pushing hard and fast on the center of a woman’s chest” and some people may fear they are hurting her, said Audrey Blewer, a University of Pennsylvania researcher who led the study.
Rescuers also may worry about moving a woman’s clothing to get better access, or touching breasts to do CPR, but doing it properly “shouldn’t entail that,” said another study leader, U Penn’s Dr. Benjamin Abella. “You put your hands on the sternum, which is the middle of the chest. In theory, you’re touching in between the breasts.”
The study was discussed Sunday at an American Heart Association conference in Anaheim.
Cardiac arrest occurs when the heart suddenly stops pumping, usually because of a rhythm problem. More than 350,000 Americans each year suffer one in settings other than a hospital. About 90 percent of them die, butCPRcan double or triple survival odds.
“This is not a time to be squeamish because it’s a life and death situation,” Abella said.
Researchers had no information on rescuers or why they may have been less likely to help women. But no gender difference was seen in CPR rates for people who were stricken at home, where a rescuer is more likely to know the person needing help.
The findings suggest that CPR training may need to be improved. Even that may be subtly biased toward males — practice mannequins (they’re not called “woman-nequins”) are usually male torsos, Blewer said.
“All of us are going to have to take a closer look at this” gender issue, said the Mayo Clinic’s Dr. Roger White, who co-directs the paramedic program for the city of Rochester, Minnesota. He said he has long worried that large breasts may impede proper placement of defibrillator pads if women need a shock to restore normal heart rhythm.
The Heart Association and the National Institutes of Health funded the study.
Men did not have a gender advantage in a second study discussed on Sunday. It found the odds of suffering cardiac arrest during or soon after sex are very low, but higher for men than women.
Previous studies have looked at sex and heart attacks, but those are caused by a clot suddenly restricting blood flow, and people usually have time to get to a hospital and be treated, said Dr. Sumeet Chugh, a cardiologist at Cedars-Sinai Heart Institute in Los Angeles. He and other researchers wanted to know how sex affected the odds of cardiac arrest, a different problem that’s more often fatal.
They studied records on more than 4,500 cardiac arrests over 13 years in the Portland area. Only 34 were during or within an hour of having sex, and 32 of those were in men. Most already were on medicines for heart conditions, so their risk was elevated to start with.
“It’s a very awkward situation, and a very horrifying situation to be one of the two people who survives,” but more would survive if CPR rates were higher, Chugh said.
Results were published in the Journal of the American College of Cardiology.
学急救，挽救生命
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