关键词： 复苏术   心脏停搏   人类  

关键词： 心脏停跳   复苏   低温   线粒体膜流动性   脑   麻醉  

摘要： 目的　研究全脑缺血再灌注损伤后脑线粒体膜流动性及Ｎａ＋ －Ｋ＋ ＡＴＰａｓｅ的变化及低温的影响。方法　健康家犬１６ 只随机分为三组：Ａ组（ｎ＝ ４），非缺血对照组；Ｂ组（ｎ＝ ６），心脏停跳复苏后常温常规治疗组；Ｃ组（ｎ＝ ６），心脏骤停复苏后，低温液灌注组。Ｂ、Ｃ两组动物心脏停跳１８ 分钟，复苏后治疗观察８ 小时，Ａ 组动物完成手术操作观察８小时，处死动物取脑组织测定线粒体膜流动性、Ｎａ＋ －Ｋ＋ ＡＴＰａｓｅ 活性和ＭＤＡ含量。结果　Ｂ组动物脑线粒体膜微粘度和ＭＤＡ明显高于正常对照组，浅低温治疗后，脑线粒体膜微粘度明显降低，Ｎａ＋ －Ｋ＋ ＡＴＰａｓｅ活性明显升高，ＭＤＡ 含量降低。结论　脑缺血再灌注可致脑线粒体膜功能损害，浅低温可促进脑线粒体膜功能的恢复。

关键词： 体外循环   停跳液   预充液   补钾   心脏复苏  

摘要： 高血钾直接影响心脏的传导和心肌舒缩活动,有碍心脏复苏[1] .自1996年以来,作者对60例体外循环心内直视手术患者采用含氧血停跳液灌注按二种不同方式预充补钾,现将观察结果报道如下.

关键词： cardiopulmonary resuscitation   heart arrest   neuron-specific enolase   outcome   CENTRAL NERVOUS-SYSTEM   HYPOXIC-ISCHEMIC COMA   CEREBROSPINAL-FLUID   EVOKED-POTENTIALS   CARDIOPULMONARY-RESUSCITATION   CEREBRAL-ISCHEMIA   PROGNOSTIC VALUE   BRAIN INJURY   DAMAGE   MARKER  

摘要： Background and Purpose-The prediction of neurological outcome in comatose cardiac arrest survivors has enormous ethical and socioeconomic implications. The purpose of the present study was to investigate the prognostic relevance of the time course of serum neuron-specific enolase (NSE) as a biochemical marker of hypoxic brain damage. Methods-Serial analysis of serum NSE levels was performed in 56 patients resuscitated from witnessed, nontraumatic, normothermic, in- or out-of-hospital cardiac arrest. The neurological outcome was evaluated with the use of the cerebral performance category (CPC) within 6 months after restoration of spontaneous circulation (ROSC). The Mann-Whitney U test was used to compare patients with good (CPC 1 to 2) and bad (CPC 3 to 4) neurological outcome. The diagnostic performance at different time points after ROSC was described in terms of areas under receiver operating characteristic curves according to standard methods. Results-Patients with a bad neurological outcome (CPC 3 to 4) had significantly higher NSE levels than those with a good neurological outcome at 12 (P=0.004), 24 (P=0.04), 48 (P<0.001), and 72 hours (P<0.001) after ROSC. The maximum NSE level measured within 72 hours after ROSC was also significantly higher in patients with a bad neurological outcome (P<0.001), The NSE value at 72 hours after ROSC was the best predictor of neurological outcome (area under the curve=0.92+/-0.04). In addition, we also found a significant difference in the time course of NSE concentrations during the first 3 days after ROSC, Conclusions-Serum NSE levels are valuable adjunctive parameters for assessing neurological outcome after cardiac arrest.

关键词： 心脏功能状态   心脏骤停   充血性心力衰竭   心脏复苏   心肺复苏   急性心肌梗死   心功能   出院率   一年生存率   不稳定型心绞痛  

摘要： 心脏骤停是最严重的心脏急症。心脏骤停者生存出院率仅3％～27％。本研究分析了心脏骤停CPR成功21例和CPR失败29例的病史资料和CPR结果。

关键词： 心脏骤停   心肺复苏   CPR   CA  

摘要： 心肺复苏（ＣＰＲ）是临床医学上最困难、最具有挑战意义的问题之一。现选择经ＣＰＲ抢救成功的３例不同病因心脏骤停（ＣＡ）患者，就ＣＡ的抢救时机与程序、复苏一线用药与剂量、用药途径，以及ＣＰＲ后难治性伴血液动力学改变的快速室性心律失常的处理等问题作一分析，...

关键词： 心脏复苏   心脏按压   CPR   肾上腺素  

摘要： 自１９９１年起，我们采用加强心脏按压及大剂量肾上腺素用于ＣＰＲ，明显提高了复苏成功率，并进行了２９例临床对比研究，效果较显著。１资料与方法１１一般资料患者均为心脏外科体外低温循环术后因低心排等各种原因而导致心脏骤停行ＣＰＲ，共２９人，随机分成两组，...

关键词： Cardiopulmonary Resuscitation   Emergency Medical Services   EmergencyTreatment  

关键词： 心室纤颤   复苏期   心脏外科手术  

关键词： 心脏骤停   复苏   护理