心肺复苏后脑损害昏迷转归的早期观察与评价

目的：探讨准确、客观评估与判定心肺复苏（CPR）后脑损害昏迷的方法。方法：对27例心肺复苏12h后脑损伤仍处于昏迷状态的患者进行连续的观察和评估，评估的项目包括对神经系统的各项临床观察。结果：27例患者中19例（70．4％）在心肺复苏后1个月内死亡，其余8例存活患者从昏迷成为睁眼昏迷，存活患者中2例（25．0％）分别在第5d、第43d清醒。结论：综合评定心肺复苏后昏迷患者，对临床医疗决策和提高脑复苏成功率具有重要的指导意义。

Objective ：To investigate the accurate and objective methods of evaluating Brain injury and coma after cardiopulmonary resuscitation. Method ：27 cases with brain injury and coma after cardlopulmonary resuscitation for 12h were continuously observed and evaluated. The methods of evaluation included various clinical examina - tions. Result： 19 of 27 cases （70.4 % ） were in deep coma, 19 cases died within 1 month and 9 of them （47.4%） were evaluated as having brain death. 8 of the 27 cases survived and changed from deep coma to coma vigil ,2 cases （25%） regain consciousness at the time of 5 and 43 days after eardiopulmonary resuscitation. Conclusion：Combined and continuous observation of clinical manifestions can accurately and objectively evaluate Brain injury and Coma after cardiopulmonary resuscitation.