临床综述：超越心肺复苏后的即刻生存——心脏骤停后的长期转归考量
Clinical review: beyond immediate survival from resuscitation-long-term outcome considerations after cardiac arrest.
作者信息
Arawwawala Dilshan, Brett Stephen J
机构信息
Department of Anaesthesia and Intensive Care Medicine, Hammersmith Hospital, Du Cane Road, London W12 0HS, UK.
出版信息
Crit Care. 2007;11(6):235. doi: 10.1186/cc6139.
Abstract
A substantial body of literature concerning resuscitation from cardiac arrest now exists. However, not surprisingly, the greater part concerns the cardiac arrest event itself and optimising survival and outcome at relatively proximal time points. The aim of this review is to present the evidence base for interventions and therapeutic strategies that might be offered to patients surviving the immediate aftermath of a cardiac arrest, excluding components of resuscitation itself that may lead to benefits in long-term survival. In addition, this paper reviews the data on long-term impact, physical and neuropsychological, on patients and their families, revealing a burden that is often underestimated and underappreciated. As greater numbers of patients survive cardiac arrest, outcome measures more sophisticated than simple survival are required.
摘要
目前已有大量关于心脏骤停复苏的文献。然而，不出所料的是，其中大部分关注的是心脏骤停事件本身以及在相对较近的时间点优化生存和预后。本综述的目的是提供证据基础，以支持那些可能用于心脏骤停后即刻幸存患者的干预措施和治疗策略，不包括复苏本身可能对长期生存有益的部分。此外，本文回顾了关于心脏骤停对患者及其家庭的长期身体和神经心理影响的数据，揭示了一种常常被低估和忽视的负担。随着越来越多的患者在心脏骤停后存活下来，需要比单纯的生存更复杂的结局指标。
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