高压氧在脑复苏中的应用专家共识

2019-06-20 中华医学会急诊医学分会 中华急诊医学杂志.2019.28(6):682-689.

心脏骤停(CA)是导致死亡的主要原因,CA后的神经功能损害给社会带来了沉重负担。目前全球CA的发生率约为20~140例/10万人,尽管患者的自主循环恢复率(ROSC)已达到20%~40%,但出院存活率仍很低,院外心脏骤停(OHCA)的患者仅6%~10.8%可存活至出院,院内心脏骤停(IHCA)患者亦仅约25.8%存活至出院,且这些患者仅有9%~15.9%等极少数未遗留任何神经功能后遗症,因此CA后

中文标题:

高压氧在脑复苏中的应用专家共识

发布日期:

2019-06-20

简要介绍:

心脏骤停(CA)是导致死亡的主要原因,CA后的神经功能损害给社会带来了沉重负担。目前全球CA的发生率约为20~140例/10万人,尽管患者的自主循环恢复率(ROSC)已达到20%~40%,但出院存活率仍很低,院外心脏骤停(OHCA)的患者仅6%~10.8%可存活至出院,院内心脏骤停(IHCA)患者亦仅约25.8%存活至出院,且这些患者仅有9%~15.9%等极少数未遗留任何神经功能后遗症,因此CA后的脑损伤是影响患者病死率和致残率的主要因素。目前针对CA后脑复苏(CR)的药物和方法很多,但效果均不理想。 高压氧(HBO)治疗是指在高于一个大气压的环境下吸纯氧的治疗方法。应用高压氧成功抢救CA后昏迷的患者迄今已有五十余年的历史,高压氧在脑复苏中的应用日渐增多,并取得了一定进展。为规范高压氧在ROSC后脑复苏中的应用,由中华医学会急诊医学分会复苏学组、高压氧医学,以及高气压医学专家等组成的专家组对高压氧在脑复苏中的应用从基础理论到临床证据推荐等进行撰写。

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    2021-12-17 太空旅客

    学习了

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    2021-08-10 146f7f6am67暂无昵称

    想要积分

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    2021-07-21 艾雯

    学习好资料

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    2020-08-12 14643f34m67暂无昵称

    学习好资料

    0

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    2020-08-12 14643f34m67暂无昵称

    学习好资料

    0