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1、葛洪霞,等體表低溫技術(shù)用于心臟驟?;颊吣X復(fù)蘇1例·985·見報(bào)道。本例患者是北京大學(xué)第三醫(yī)院采用具有溫(ECC)AmericanHeanAssociation(AHA)[J].WiadLek,2011,64(2):127—131.度調(diào)節(jié)反饋機(jī)制的體表低溫技術(shù)治療的首例急性[3]SafarP.Cerebralresuscitationpotentialsforcardiacarest[J].sT段抬高性心肌梗死合并心臟驟停病例,患者神經(jīng)CritCareMed,2002,30(1):140—144.『4]BernardSA.Treatmentofcomatosesurvivomofout.of-
2、hospital功能的完全康復(fù)給我們帶來以下經(jīng)驗(yàn):(1)低溫治cardiacarrestwithinducedhypothermia[J].NEnglJMed,2002.346(8):557—563.療應(yīng)該在自主循環(huán)恢復(fù)后盡早開始;(2)低溫治療[5]HolzerM.Targetedtemperaturemanagementforcomatosesurvi—過程要深度鎮(zhèn)靜和減少寒戰(zhàn)產(chǎn)熱,縮短低溫誘導(dǎo)時(shí)vorsofcardiacarrest[J].NEnJMed,2010,363(13):1256—1264.相;(3)低溫治療需要穩(wěn)定的專業(yè)技術(shù)團(tuán)隊(duì),整個(gè)過[6]PittlU,Schratter
3、A,DeschS,eta1.Invasiveversusnon—invasive程要精細(xì)化管理,密切監(jiān)測患者的生命體征、生化指coolingafterin—andout·-of-hospitalcardiacalTestIarandomizedtrial[J].ClinResCardiol,2013,102(8):607—614.標(biāo)及神經(jīng)系統(tǒng)表現(xiàn)。[7]DelhayeC,MahmoudiM,WaksmanR.Hypothermiatherapy:neurologicalandcardiacbenefits[J].JAmCellCardiol,2012,參考文獻(xiàn)59(3):197—210.[8
4、]ZhiD,ZhangS,LinX.Studyontherapeuticmechanismandcli—[1]ZimmermannS,F(xiàn)lachskampfFA,SchneiderR,eta1.Mildthera—niealelectofmildhypothermiainpatienswithsevereheadinjurypeutichypothermiaafterout—of-hospitalcardiacarrestcomplicating[J].SurgNeuro,2003,59(5):381—385.ST—elevationmyocardialinfarction:long-ter
5、mresultsinclinicalpractice[J].ClinCardiol,2013,36(7):414—421.(2014—10-20收稿)[2]DabrowskaA,TelecW.Newguidelinesofbasicandadvanced(本文編輯:王蕾)cardiopulmonaryresuscitationandEmergencyCardiovascularCareAcasereportofcerebralresuscitationbysurfacecoolinginapatientwithcardiacarrestGEHong-xia,MAQing—bian,ZHENG
6、Kang,DULan—fang,HANJiang—li,F(xiàn)ENGJie-li,ZHENGYa-all(1.DepartmentofEmergency,2.DepartmentofCardiology,PekingUniversityirdHospital,Beijing100191,China)SUMMARYTherapeutichypothermiaisanimportanttreatmentforcerebralresuscitationinpatientsaftercardiacarrest.Butitisrarelyusedforcomatosesurvivorpost.cardia
7、carrestinChina.Thepatientwasthefirstcasewhowasincomapostcardiacarrestcausedbyacutemyocardialinfarctionandgivenhypo.thermiatherapyinourhospita1.Aftercoronaryreperfusionandtherapeutichypothermia.thepatient’ss