麻醉后心肌梗死致心脏骤停抢救成功1例

A case of successful rescue of cardiac arrest caused by myocardial infarction after anesthesia

急性心肌梗死(AMI)是冠状动脉急性、持续性缺血缺氧所引起的心肌坏死。可并发严重心律失常、休克或心力衰竭,常可危及生命。该临床常见疾病是引起心脏骤停的常见原因,也是引起患者病死的常见原因。快速识别心电图变化,早期干预处理至关重要。尤其是麻醉状态下的患者意识消失,严密监测生命体征有利于早期发现心电异常,及时启动抢救程序。本文通过介绍1例麻醉后出现心肌梗死导致心脏骤停的抢救成功病例,分析发生心脏骤停的可能原因及影响因素,旨在提高麻醉医师做好术前评估及术前准备工作的意识。重视完善临床麻醉实施前的检查以及评估,有助于识别冠心病的高危人群。

Acute myocardial infarction(AMI)is myocardial necrosis caused by acute and continuous ischemia and hypoxia of coronary artery.It can lead to severe arrhythmia,shock or heart failure,often life-threatening.This common clinical disease is a common cause of cardiac arrest and death.Early intervention is very important for rapid recognition of ECG changes.Especially when the consciousness of patients under anesthesia disappears,close monitoring of vital signs is conducive to early detection of ECG abnormalities and timely start rescue procedures.This paper introduces a successful rescue case of cardiac arrest caused by myocardial infarction after anesthesia,and analyzes the possible causes and influencing factors of cardiac arrest,in order to improve the awareness of anesthesiologists in preoperative evaluation and preoperative preparation.The implementation of clinical anesthesia should pay attention to perfect preoperative examination and evaluation,which is helpful to identify the high-risk groups of coronary h eart disease.