院内心脏骤停的研究进展

Research progress of in-hospital cardiac arrest

院内心脏骤停是高死亡率的紧急临床事件。与院外心脏骤停不同,院内心脏骤停有独特的流行病学、危险因素和早期预警症状。依据其特点,发现院内心脏骤停是可以早期预测的。由于发生的地点是在院内,更容易启动心肺复苏和高级生命支持,可提高复苏成功率和改善预后。本文就国内外关于院内心脏骤停的流行病学、机制、病理生理学、危险因素、预警症状、预警评分系统、院内心脏骤停发生后的器官评估、治疗和预防等方面进行阐述。

In-hospital cardiac arrest is an acute clinical event characterized by a high rate of death.Unlike out-of-hospital cardiac arrest,in-hospital cardiac arrest exhibits its unique epidemiology,risk factors,and early warning symptoms.Based on its distinctive features,the detection of inhospital cardiac arrest can be predicted early.Given its occurrence within a healthcare facility,it is easier to initiate cardiopulmonary resuscitation and advanced life support,which can enhance the success rate of resuscitation and prognosis improvement.This article elaborates on the epidemiology,mechanisms,pathophysiology,risk factors,early warning symptoms,early warning scoring systems,organ assessment following in-hospital cardiac arrest,treatment,and prevention,both domestically and internationally.