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心肺复苏中溶栓的疗效和安全性研究 被引量：8

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摘要 心肺复苏（cardiopulmonary resuscitation，CPR）是医学界的一大难题，由于50％～70％的心搏骤停（cardiac arrest，CA）是由急性心肌梗死（acute myocardial infarction，AMI）或肺栓塞（massive puhnonary embolism，PE）引起的，溶栓作为特效疗法已被证明对AMI、PE有效。这就提示CPR中有使用溶栓药物的指征。但由于溶栓的出血并发症，多数指南将其列为CPR的禁忌。
作者 许德国 王晓军 刘纪改 蔡卫东 王光海 刘静静 张娜
出处 《中华急诊医学杂志》 CAS CSCD 北大核心 2009年第9期977-979,共3页 Chinese Journal of Emergency Medicine
关键词 溶栓药物 心肺复苏 RESUSCITATION 安全性 疗效 急性心肌梗死 出血并发症 心搏骤停
分类号 R459.7 [医药卫生—急诊医学]
  • 相关文献

参考文献10

  • 1Bottiger BW.Martin E.Thrombolytic therapy during cardie-pulmonary resuscitation and the role of coagulation activation after cardiac arrest[J].Curr Opin Crit Care.2001,7(3):176-183.
  • 2International guidelines 2000 for CPR and ECC-a consensus on science[J].Resuscitation,2000,46:1-448.
  • 3American Heart Association.2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[S].Circulation,2005,112(24 Suppl):Ⅳ1-203.
  • 4黄文凤,朱继红.心肺复苏中的溶栓治疗[J].中国急救复苏与灾害医学杂志,2006,1(4):173-177. 被引量：2
  • 5Newman DH,Greenwald I,Callaway CW.Cardiac arrest and the role of thrombolytic agents[J].Ann Emer Med,2000,35(5):472-480.
  • 6Spohr F,Bottiger BW.Thrombolytic therapy during or after cardiopulmonary resuscitation.Efficacy and safety of a new therapeutic approach[J].Minerva Anesthesiol,2003,69(5):357-364.
  • 7Padosch SA,Motsch J,B(o)ttiger BW.Thrombolysis during cardiopulmonary resuscitation[J].Anaesthesist,2002,51(7):516-532.
  • 8李欣,廖晓星,荆小莉,蔺际,马中富,李玉杰.心肺复苏过程中进行溶栓治疗的Meta分析[J].中华急诊医学杂志,2005,14(8):651-654. 被引量：25
  • 9Kennedy JW,Ritchie JL,Davis KB,et al.The western Washington randomized trial of intracoronary streptokinase in acute myocardial infarction.A 12-month follow-up report[J].N Engl J Med,1985,312(17):1073-1078.
  • 10潘曙明,杨兴易,林兆奋,陈德昌,管军,郭昌星,徐建生,李修江.心肺复苏后大鼠神经细胞凋亡的实验研究[J].中国急救医学,2003,23(5):286-288. 被引量：5

二级参考文献54

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共引文献29

同被引文献66

引证文献8

二级引证文献19

中华急诊医学杂志
2009年 第9期

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