心脏骤停复苏后血流动力学管理的专家共识

2019-11-30 中华医学会急诊医学分会中华急诊医学杂志.2019,28(11):1343-1349.

影响ROSC患者预后的主要因素是CA后综合征，包括伴随循环休克的心肌功能障碍，伴随凝血系统激活的系统性炎症，不断进展的脑损伤以及持续存在的病理学变化嘲。复苏后心肌功能障碍是导致患者早期死亡的主要原因之一叫，其中机械因素包括严重的心肌收缩力损伤和心肌舒张功能不全；电生理因素包括各种心律失常，甚至交感电风暴。这些因素引起血流动力学不稳定，最终可能导致多器官功能衰竭。CA患者存在复苏后心肌功能障碍的同时

中文标题：

心脏骤停复苏后血流动力学管理的专家共识

发布机构：

中华医学会急诊医学分会

发布日期：

2019-11-30

简要介绍：

影响ROSC患者预后的主要因素是CA后综合征，包括伴随循环休克的心肌功能障碍，伴随凝血系统激活的系统性炎症，不断进展的脑损伤以及持续存在的病理学变化嘲。复苏后心肌功能障碍是导致患者早期死亡的主要原因之一叫，其中机械因素包括严重的心肌收缩力损伤和心肌舒张功能不全；电生理因素包括各种心律失常，甚至交感电风暴。这些因素引起血流动力学不稳定，最终可能导致多器官功能衰竭。CA患者存在复苏后心肌功能障碍的同时，也常并存低血压和组织微循环低灌注状态，并将持续数天。对复苏后患者进行严密的血流动力学监测和通过各种药物、器械等手段维持血流动力学稳定，是改善患者远期生存率的关键环节。ROSC后目标温度管理(targeted temperature management，T1M)是被临床证实能提高CA后昏迷患者的生存率，改善神经功能预后的措施。11M治疗期间低温对血流动力学的影响有其特殊的表现。笔者希望通过制定CPR后血流动力学管理专家共识，与国内同道共同维护CA患者的重要脏器组织灌注，改善患者预后。

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2021-07-29 啤酒肚

学习了

98 0
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2021-06-25 xzmynya

学习

110 0
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2021-06-14 12186752m54暂无昵称

学习了

108 0
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2021-04-26 81252974

学习啦

156 0
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2021-01-02 1462eb18m34暂无昵称

学习了

129 0

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