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基于5G和人工智能构建智能化院外心脏骤停急救系统
李志强
韩雪钰
吕菁君
沈波
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DOI： 10.3760/cma.j.issn.1671-0282.2025.01.002
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摘要

心脏骤停是一种严重威胁生命的急症，每年造成全球数百万人直接死亡，其中，约有80%发生医院以外，又称为院外心脏骤停（out-of-hospital cardiac arrest，OHCA） [1]。我国医疗资源分布不均衡，发生OHCA的患者抢救出院存活率不足1%，能够恢复良好神经功能的患者更是少之又少 [2]。OHCA高病死率与急救链的各个环节密切相关，包括识别延迟、现场急救启动不足、心肺复苏（cardiopulmonary resuscitation, CPR）质量不高、自动体外除颤器（automated external defibrillator, AED）使用率低以及院前与院内医疗服务衔接不畅等 [3]。

引用本文

李志强,韩雪钰,吕菁君,等. 基于5G和人工智能构建智能化院外心脏骤停急救系统[J]. 中华急诊医学杂志,2025,34(01)：6-11.

DOI:10.3760/cma.j.issn.1671-0282.2025.01.002

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心脏骤停是一种严重威胁生命的急症，每年造成全球数百万人直接死亡，其中，约有80%发生医院以外，又称为院外心脏骤停（out-of-hospital cardiac arrest，OHCA） [ 1 ]。我国医疗资源分布不均衡，发生OHCA的患者抢救出院存活率不足1%，能够恢复良好神经功能的患者更是少之又少 [ 2 ]。OHCA高病死率与急救链的各个环节密切相关，包括识别延迟、现场急救启动不足、心肺复苏（cardiopulmonary resuscitation, CPR）质量不高、自动体外除颤器（automated external defibrillator, AED）使用率低以及院前与院内医疗服务衔接不畅等 [ 3 ]。
近年来，随着人工智能（artificial intelligence, AI）和互联网技术的快速发展，为构建更高效、更智能的院前急救系统提供了前所未有的机遇。这些新兴技术不仅能够提升OHCA的早期识别和预警能力，还能优化急救流程，提高急救人员的工作效率，并促进院前与院内医疗信息共享与协同，最终有望显著改善OHCA患者的预后 [ 4 ]。5G通信与AI技术在院前急救领域的融合发展与创新应用，可以对患者做到实时监控、早期发现、提供策略应对，为OHCA患者提供更及时、更精准、更高效的救治。
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备注信息
A
吕菁君，Email: nc.defudabe.uhwnujgnijvl；
B
沈波，Email: mocdef.6ab21xdhwobnehs
C

李志强和韩雪钰为共同第一作者

D
所有作者声明无利益冲突
E
湖北省重点研发计划 (2023BCB017)
国家重点研发计划主动健康和人口老龄化科技应对专项 (2023YFC3604700)
国家重点研发计划诊疗装备与生物医用技术专项 (2022YFC2401900)
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