心脏骤停自主循环恢复预后评估

Prognosis evaluation of restoration of spontaneous circulation after cardiac arrest

心脏骤停(cardiac arrest,CA)严重危及患者生命,具有复苏成功率低,死亡率高,神经功能结局预后低等特点。目前临床上主要通过普及心肺复苏知识教育来提高抢救成功率以外,也通过一些临床实践及研究来探索心脏骤停自主循环恢复(ROSC)预后的相关因素。文章就与心脏骤停ROSC预后相关的复苏前、骤停相关及ROSC后因素进行论述。

Cardiac arrest seriously endangers patients'life,and has the characteristics of low success rate of resuscitation,high mortality rate,and poor neurological prognosis.At present,cardiopulmonary resuscitation education is mainly adopted to improve the success rate of rescue in our clinical practice,and some clinical practices and studies are also conducted to explore the prognostic factors of ROSC after cardiac arrest.In this paper,the factors of pre-arrest,peri-arrest and post-ROSC,which may be related to the prognosis of ROSC after cardiac arrest,were discussed.