心搏骤停后脑损伤机制及脑复苏的研究进展  

The Research Advance of Brain Injury Mechanism and Cerebral Resuscitation after Cardiac Arrest

作　　者：张英杰[1] 王绚[1] 李培杰[1] 

机构地区：[1]兰州大学第二临床医院重症医学2科,兰州730000

出　　处：《医学综述》2014年第2期301-303,共3页Medical Recapitulate

摘　　要：心搏骤停后为全脑缺血状态,脑损伤机制复杂不仅要渡过急性期的各种并发症,还要面对未来长期病残所带来的巨大物质和经济负担,因而对脑缺血进行积极有效的脑保护和脑复苏有着非常重要的理论和实践意义。脑复苏是后成败的关键,国际复苏委员会将心肺复苏的概念扩展到心肺脑复苏,将脑复苏提到与心肺复苏同等重要的地位。脑功能恢复的关键是及时进行心肺复苏,改善脑灌注,终极目标为最大程度恢复中枢神经系统功能。近年脑复苏已经成为研究热点,该文着重于对心搏骤停后脑损伤机制及脑复苏进行阐述。After cardiac arrest the whole brain ischemia occurs, brain damage mechanism is complex, which not only brings the challenge of various complications during acute stage, but also the huge material and economic burden during to the long-term disease, so effective brain protection and recovery from ischemic brain has a very important theoretical and practical significance. Brain recovery is the key to success of cardiopulmonary resuscitation（CPR）, the international recovery committee extended the concept of CPR to the cardiopulmonary cerebral resuscitation（CPCR） ,which elevated the brain recovery to the same position of cardiopulmonary recovery. The key to brain function recovery is timely CPR, to improve cerebral perfusion, and the ultimate goal is to maximize the recovery of the central nervous system function. Brain recovery has become a research hotspot in recent years,and here is to focus on the brain damage mechanism and cerebral recovery after cardiac arrest.

关 键 词：心搏骤停 脑损伤机制 脑复苏 

分 类 号：R459.7[医药卫生—急诊医学]