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时间:2020-05-14
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1、葛洪霞,等体表低温技术用于心脏骤停患者脑复苏1例·985·见报道。本例患者是北京大学第三医院采用具有温(ECC)AmericanHeanAssociation(AHA)[J].WiadLek,2011,64(2):127—131.度调节反馈机制的体表低温技术治疗的首例急性[3]SafarP.Cerebralresuscitationpotentialsforcardiacarest[J].sT段抬高性心肌梗死合并心脏骤停病例,患者神经CritCareMed,2002,30(1):140—144.『4]BernardSA.Treatmentofcomatosesurvivomofout.of-
2、hospital功能的完全康复给我们带来以下经验:(1)低温治cardiacarrestwithinducedhypothermia[J].NEnglJMed,2002.346(8):557—563.疗应该在自主循环恢复后尽早开始;(2)低温治疗[5]HolzerM.Targetedtemperaturemanagementforcomatosesurvi—过程要深度镇静和减少寒战产热,缩短低温诱导时vorsofcardiacarrest[J].NEnJMed,2010,363(13):1256—1264.相;(3)低温治疗需要稳定的专业技术团队,整个过[6]PittlU,Schratter
3、A,DeschS,eta1.Invasiveversusnon—invasive程要精细化管理,密切监测患者的生命体征、生化指coolingafterin—andout·-of-hospitalcardiacalTestIarandomizedtrial[J].ClinResCardiol,2013,102(8):607—614.标及神经系统表现。[7]DelhayeC,MahmoudiM,WaksmanR.Hypothermiatherapy:neurologicalandcardiacbenefits[J].JAmCellCardiol,2012,参考文献59(3):197—210.[8
4、]ZhiD,ZhangS,LinX.Studyontherapeuticmechanismandcli—[1]ZimmermannS,FlachskampfFA,SchneiderR,eta1.Mildthera—niealelectofmildhypothermiainpatienswithsevereheadinjurypeutichypothermiaafterout—of-hospitalcardiacarrestcomplicating[J].SurgNeuro,2003,59(5):381—385.ST—elevationmyocardialinfarction:long-ter
5、mresultsinclinicalpractice[J].ClinCardiol,2013,36(7):414—421.(2014—10-20收稿)[2]DabrowskaA,TelecW.Newguidelinesofbasicandadvanced(本文编辑:王蕾)cardiopulmonaryresuscitationandEmergencyCardiovascularCareAcasereportofcerebralresuscitationbysurfacecoolinginapatientwithcardiacarrestGEHong-xia,MAQing—bian,ZHENG
6、Kang,DULan—fang,HANJiang—li,FENGJie-li,ZHENGYa-all(1.DepartmentofEmergency,2.DepartmentofCardiology,PekingUniversityirdHospital,Beijing100191,China)SUMMARYTherapeutichypothermiaisanimportanttreatmentforcerebralresuscitationinpatientsaftercardiacarrest.Butitisrarelyusedforcomatosesurvivorpost.cardia
7、carrestinChina.Thepatientwasthefirstcasewhowasincomapostcardiacarrestcausedbyacutemyocardialinfarctionandgivenhypo.thermiatherapyinourhospita1.Aftercoronaryreperfusionandtherapeutichypothermia.thepatient’ss
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