关键词: 腹主动脉, 脐, 腰椎, 心肺复苏, 影像解剖

Abstract:

Objective　To supply imaging anatomical basis for abdominal aorta blocking assisting in standard cardiopulmonary resuscitation to improve coronary perfusion pressure.　Methods　CT images of 75 patients, 41 males and 34 females, were collected. The bellybutton was used as the landmark, and indexes as follows were measured:①The vertebral level of the bellybutton midpoint; ②The relationship between abdominal aorta termination and bellybutton midpoint;③The relationship among the vertical tracks of abdominal artery, lumbar vertebrae,and inferior vena cava.   Results   The markers for the end of abdominal artery,lumbar vertebrae and navel roughly overlapped at the human median line: ① The navel midpoint was located between 40.31 mm above and 32.82 mm below the inferior border of L4; ② The end of the abdominal artery was located between 35 mm above and 35 mm below the bellybutton midpoint; ③The end of abdominal artery was located slightly to the left of the lumbar spine, and inferior vena cava was located to right of the lumbar spine at the transverse section of the body at the level of the end of the abdominal artery.　Conclusions　According to the imaging study, navel can be adopted as the landmark for blocking in vitro the end of the abdominal aorta, assisting in the standard cardiopulmonary resuscitation. It could improve the hemodynamic indexes, ensure blood supply of the critical organs such as brain and heart, and improve coronary perfusion pressure with high success rate.

Key words: Abdominal aorta, Bellybutton, Lumbar vertebrae, Cardiopulmonary resuscitation, Imaging anatomy