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使用大剂量肾上腺素进行成功的心肺复苏。

Successful cardiopulmonary resuscitation using high doses of epinephrine.

作者信息

Cipolotti G, Paccagnella A, Simini G

机构信息

2nd Servizio di Anestesia e Rianimazione, Ospedale S. Maria dei Battuti, Treviso, Italy.

出版信息

Int J Cardiol. 1991 Dec;33(3):430-1. doi: 10.1016/0167-5273(91)90074-y.

DOI:10.1016/0167-5273(91)90074-y
PMID:1761339
Abstract

Cardiac arrest usually carries a bleak prognosis when occurring in patients who have undergone open heart surgery. We report two cases where cardiac arrest was not responsive to routine therapies. Doses of epinephrine 5-10 times higher than recommended were able to provide a resolution, and the patients were discharged in a normal neurological state.

摘要

心脏骤停发生在接受心脏直视手术的患者身上时,通常预后不佳。我们报告了两例心脏骤停对常规治疗无反应的病例。使用比推荐剂量高5至10倍的肾上腺素能够使情况得到缓解,且患者出院时神经状态正常。

相似文献

1
Successful cardiopulmonary resuscitation using high doses of epinephrine.使用大剂量肾上腺素进行成功的心肺复苏。
Int J Cardiol. 1991 Dec;33(3):430-1. doi: 10.1016/0167-5273(91)90074-y.
2
A randomized clinical trial of high-dose epinephrine and norepinephrine vs standard-dose epinephrine in prehospital cardiac arrest.院前心脏骤停时高剂量肾上腺素与去甲肾上腺素对比标准剂量肾上腺素的随机临床试验。
JAMA. 1992 Nov 18;268(19):2667-72.
3
Immediate intravenous epinephrine versus early intravenous epinephrine for in-hospital cardiopulmonary arrest.院内心搏骤停时即刻静脉内给予肾上腺素与早期静脉内给予肾上腺素的比较。
BMC Anesthesiol. 2021 May 13;21(1):147. doi: 10.1186/s12871-021-01346-1.
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Intracardiac injection.
Resuscitation. 1994 Mar;27(2):177. doi: 10.1016/0300-9572(94)90011-6.
5
Use of cardiopulmonary bypass, high-dose epinephrine, and standard-dose epinephrine in resuscitation from post-countershock electromechanical dissociation.心肺转流、大剂量肾上腺素和标准剂量肾上腺素在电击后电机械分离复苏中的应用。
Ann Emerg Med. 1992 Sep;21(9):1051-7. doi: 10.1016/s0196-0644(05)80644-4.
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#Epi: There is no place for the use of intravenous epinephrine as a standard component of cardiac arrest resuscitation care.
CJEM. 2019 May;21(3):324-329. doi: 10.1017/cem.2019.17.
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Epinephrine in resuscitation: curse or cure?复苏中的肾上腺素:祸还是福?
Future Cardiol. 2010 Jul;6(4):473-82. doi: 10.2217/fca.10.24.
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Vasopressin, epinephrine, and corticosteroids for in-hospital cardiac arrest.血管加压素、肾上腺素和皮质类固醇用于院内心脏骤停。
Arch Intern Med. 2009 Jan 12;169(1):15-24. doi: 10.1001/archinternmed.2008.509.
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Complete recovery of consciousness in a patient with decorticate rigidity following cardiac arrest after thoracic epidural injection.在胸部硬膜外注射后心脏骤停的去皮质强直患者中意识完全恢复
Br J Anaesth. 2001 Jun;86(6):899-900.
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Successful thrombolytic therapy of post-operative massive pulmonary embolism after ultralong cardiopulmonary resuscitation: a case report and review of literature.超长心肺复苏术后成功溶栓治疗术后大面积肺栓塞:一例报告并文献复习
Clin Respir J. 2017 May;11(3):383-390. doi: 10.1111/crj.12332. Epub 2015 Jul 24.

引用本文的文献

1
Adrenaline, cardiac arrest, and evidence based medicine.肾上腺素、心脏骤停与循证医学。
J Accid Emerg Med. 1996 Jul;13(4):234-7. doi: 10.1136/emj.13.4.234.