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心肺复苏术后蛛网膜下腔出血1例报告并文献复习 被引量：1

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摘要 心肺复苏（cardiopulmonary resuscitation,CPR）术后出现的多脏器损害使患者病死率极高,其出院率约为10%,1年后病死率约为6%[1]。其中中枢神经系统损害达60%,以缺血缺氧性脑病最常见,其次是脑梗死、脑肿胀、脑出血等[2],但继发蛛网膜下腔出血报道较少。笔者总结我院CPR术后蛛网膜下腔出血患者1例,分析其可能的发病机制,现报道如下。
作者 彭旭 吕爱莲 张智博
机构地区 长沙市第一医院
出处 《临床合理用药杂志》 2013年第1期138-138,共1页 Chinese Journal of Clinical Rational Drug Use
关键词 心肺复苏术 蛛网膜下腔出血
分类号 R743.35 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献6

  • 1Rudner R, Jalowiecki P, Karpel E, et al. Survival after out-of-hospital cardiac arrests in Katowice (Poland) : outcome report according to the "utstein style" [ J]. Resuscitation,2004,61 ( 3 ) :315 - 325.
  • 2Rea TD, Cook AJ, Hallstrom A. CPR during ischemia and reperfusion : a model for survival benefits [ J ]. Resuscitation,2008,77 : 6 - 9.
  • 3Lowenthal A, Maimon N, Waldman S, et al. Subarachnoid hemorrhage following cardiopulmonary resuscitation [ J . Resuscitation, 2004, 63 (2) :221 -223.
  • 4陶晓勇,耿晓非,魏东宁,王宇.心肺复苏术后蛛网膜下腔出血2例报告并文献复习[J].北京医学,2009,31(6):373-374. 被引量：1
  • 5Fink K, Schwarz M, Feldbrugge L, et al. Severe endothelial injury and subsequent repair in patients after successful cardiopulmonary resuscita- tion[J]. Crit Care,2010,14(3) :104.
  • 6Vangent MW, Kuiper MA, Manschot T, et al. Subarachnoid haemorrhage presenting clinically as circulatory arrest in acute myocardial infarction [J]. Ned Tijdschr Geneeskd,2008,152(6) :331 -336.

二级参考文献12

  • 1Rudner R,Jalowiecki P,Karpel E,et al.Survival after out-of hospital cardiac arrests in Katowice(Poland):outcome report according to the"Utstein style".Resuscitation,2004,61:315 -325.
  • 2Enohumah KO,Moerer O,Kirmse C,ct al.Outcome of cardiopulmonary resuscitation in intensive care units in a university hospital.Resuscitation,2006,71:161-170.
  • 3Rea TD,Cook A J,Hallstrom A.CPR during ischemia and reperfusion:a model for survival benefits.Resuscitation,2008,77:6 -9.
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  • 5Guengniaud PY.Subarachnoid hemorrhage:a complication of CPR? Crit Care Med,1987,3:284-285.
  • 6Lowenthal A,Maimen N,Waldman S,et al.Sub-arachnoid hemorrhage following cardiopulmonary resuscitation.Resuscitation,2004,63:221-223.
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  • 9Madl C,Holzer M.Brain function after resuscitation from cardiac arrest.Curt Opin Crit Care,2004,10:213 -217.
  • 10Kyto V,Sareste A,Saukko P,et al.Apoptotic cardiomyocyte death in fatalmyocarditis.Am J Cardiol,2004,94:746-750.

同被引文献19

  • 1Stevens RD, Sutter R. Prognosis in severe brain injury [J]. Crit Care Med, 2013, 41 (4): 1104-1123.
  • 2Bisschops LL, van Alfen N, Bons S, et al. Predictors of poor neurologic outcome in patients after cardiac arrest treated with hypothermia: a retrospective study[J]. Resuscitation, 2011, 82 (6): 696-701.
  • 3Tian G, Qin K, Wu YM, et al. Outcome prediction by amplitude-integrated EEG in adults with hypoxic ischemic encephalopathy [J]. Clin Neurol Neurosurg, 2012, 114 (6): 585-589.
  • 4Alvarez-Fernandez JA. Transcranial Doppler ultrasound use in post-cardiac arrest coma [J]. Rev Neurol, 2011, 53 (9): 545-554.
  • 5Alvarez-Fernandez JA, Martin-Velasco MM, Igeno-Cano JC, et al. Transcranial Doppler uhrasonography use- fulness in cardiac arrest resuscitation [J]. Med tntensiva, 2010, 34 (8): 550-558.
  • 6Wijdicks EF, Campeau NG, Miller GM. MR imaging in comatose survivors of cardiac resuscitation[J]. AJNR Am J Neuroradiol, 2001, 22 (8): 1561-1565.
  • 7Fujioka M, Okuchi K, Sakaki T, et al. Specific chan- ges in human brain following reperfusion after cardiac an'est[J]. Stroke, 1994, 25 (10): 2091-2095.
  • 8Yuzawa H, Higano S, Mugikura S, et al. Pseudo-sub- arachnoid hemorrhage found in patients with postresuscitation encephalopathy: characteristics of CT findings and clinical importance [J]. AJNR Am J Neuroradiol, 2008, 29 (8): 1544-1549.
  • 9Chute DJ, Smialek JE. Pseudo-subarachnoid hemorr-hage of the head diagnosed by computerized axial tomography: a postmortem study of ten medical examiner cases[J]. J Forensic Sci, 2002, 47 (2): 360- 365.
  • 10Avrahami E, Katz R, Rabin A, et al. CT diagnosis of non-traumatic subarachnoid haemorrhage in patients with brain edema[J]. Eur J Radiol, 1998, 28 (3): 222-225.

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二级引证文献6

临床合理用药杂志
2013年 第1期

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