心脏骤停后综合征  

Post-cardiac arrest syndrome

作　　者：文俊[1] 高路[2] 常文毅[1] 

机构地区：[1]西安交通大学医学院附属儿童医院急诊科,710003 [2]西安交通大学医学院附属第一医院

出　　处：《中国小儿急救医学》2013年第5期537-540,共4页Chinese Pediatric Emergency Medicine

摘　　要：心脏骤停后综合征（post—cardiacarrestsyndrome，PCAS）是儿童时期常见的危重症，致死率及致残率极高，其发病机制未完全阐明，临床表现复杂多样，治疗上主要是对症支持治疗。近年来根据病理生理改变及临床预后对PCAS进行分期，并在PCAS脑损伤、心肌损伤病理生理改变及临床治疗等领域取得了一些进展。在PCAS的救治上，提倡早期亚低温治疗、控制血糖、控制惊厥和合理的心肺支持。该文就上述领域的研究作一综述，并介绍国外治疗PCAS的最新治疗策略。Post-cardiac arrest syndrome （PCAS） is one of the most common medical emergencies in children. The fatality rate and disability rate are extremely high. Pathogenesis of PCAS remains incompletely clear, and clinical manifestation is complicated. The treatment is mainly limited to supportive care. In recent years, the phases of PCAS are defined according to the pathophysiological changes and clinical prognosis. In- vestigators also made some advances in the fields of pathophysiological changes and clinical treatment of brain damage and myocardial damage. For the treatment of PCAS, early therapeutic hypothermia, glucose con- trol and seizure control, and reasonable cardiopulmonary support are promoted. In this article, we reviewed the advances in the above fields and the latest advance on the management of PCAS in foreign countries.

关 键 词：心脏骤停后综合征 病理生理 亚低温治疗 机械通气 儿童 

分 类 号：R720.597[医药卫生—急诊医学]