摘要
心肺复苏后支持治疗是高级生命支持的重要组成部分，在恢复自主循环和初期的稳定后，患者的病死率仍然较高。如何降低患者的病死率及尽可能改善神经系统功能的恢复非常重要。本综述就心跳停止心肺复苏后患者的神经病学、血流动力学、呼吸和代谢等治疗方面的研究成果作相应的阐述得出；早期亚低温脑保护，严格控制抽搐和早期高压氧治疗、维持循环的稳定、强化胰岛素治疗，维持合适的PaCO2水平、胃肠道和肾功能的保护等等可畿改善患者的预后，增加患者神经系统功能完整恢复的可能性。
Supportive treatmenl after cardiopulrnonary resusciation is a critical component of advanced life support. Patient mortality remains high after return of spontaneous circulation and initial stabilization. It＇s is very important to lower the mortality and improve neurological recovery as far as possible. This review article summarizes newly understanding of the neurologic, hemodynamic, breathing and metabolic abnormalities encountered in patients who are resuscitated from cardiac arrest. The following measures, for example, early mild hypothermia, promptly control witnessed seizures, early hyperbaric oxygen treatment, maintaining circulation stabilization, tight control of blood glucose using insulin, maintaining suitable level of PaCO2 and paying attention to other organs＇ protection, may improve outcome, increase the likelihood of intact neurologic survival.
出处
《麻醉与监护论坛》
2008年第1期28-30,共3页
Forum of Anesthesia and Monitoring
关键词
心肺复苏
亚低温
自主循环
过度通气
Cardiopulmonary resuscitation
Spontaneous circulation
Mild hypothermia
Hyperventilation
