Successful perform of prolonged cardiopulmonary and cerebral resuscitation on repeated cardiac arrest:one case report
10.3760/cma.j.issn.2095-4352.2017.11.015
- VernacularTitle:反复心搏骤停超长心肺脑复苏成功1例
- Author:
Guanghui HE
1
;
Yanping LIANG
;
Jianjun JING
;
Xiaofeng LI
;
Xin JIN
;
Yicheng YANG
;
Shibin LYU
;
Jiaojiao LU
Author Information
1. 石河子市人民医院急救中心
- Keywords:
Cardiac arrest;
Prolonged cardiopulmonary and cerebral resuscitation;
Thrombolytic therapy;
Targeted temperature management;
Continuous blood purification
- From:Chinese Critical Care Medicine
2017;29(11):1032-1034
- CountryChina
- Language:Chinese
-
Abstract:
Cardiac arrest (CA) is the most serious clinical emergency situation and cardiopulmonary-cerebral resuscitation (CPCR) performed on site with high quality is the optional therapy for its management. It has been reported that prolonging the resuscitation time after 30-minute failed conventional cardiopulmonary resuscitation (CPR) could improve the in-hospital survival rate of CA patients, and how to improve the out-hospital survival rate and survival quality of these patients is a research hot focus at present. A male patient admitted to Emergency Center of Shihezi People's Hospital reported in Xinjiang in this study had two CAs. In 2002, he experienced Adams-Strokes syndrome due to acute myocardial infarction (AMI) and survived after 35-minute of successful CPR. The criminal vessel was judged to re-canalize clinically 2 hours after thrombolytic therapy with urokinase, and he was cured and discharged from hospital 25 days later. In 2016, the second CA insult him and after the 185-minute CPR, he survived but experienced the post-CA syndrome. As long as 7-day continuous mild hypothermia was performed, the temperature of displacement fluids in continuous blood purification (CBP) was adjusted to 35 ℃ to achieve the goal of brain protection management requirements. He was cured and discharged from hospital 75 days later. During the 9-month follow-up, he did well in activities of daily living and could engage in routine housework. This paper introduces the treatment process of the patient in detail, and provides experience for clinical treatment.
