Virkkunen Ilkka, Paasio Laura, Ryynänen Sanna, Vuori Arno, Sajantila Antti, Yli-Hankala Arvi, Silfvast Tom
Tampere University Hospital, Department of Surgery and Anaesthesiology, PO Box 2000, FIN-33521 Tampere, Finland.
Resuscitation. 2008 May;77(2):207-10. doi: 10.1016/j.resuscitation.2007.12.006. Epub 2008 Feb 4.
To study the cause of deaths after witnessed cardiac arrest followed by pulseless electrical activity and unsuccessful of out-of-hospital resuscitation; and to detect any differences between causes of death determined at autopsy and those inferred from clinical history.
In this prospective observational study, data were collected from 91 individuals treated by the emergency medical services in three urban communities in southern Finland.
Cause of death was determined at autopsy in 59 cases and without autopsy in 32 cases. There were significantly more diagnoses of acute myocardial infarction and fewer of pulmonary embolism and aortic dissection and rupture among cases without autopsy compared with those followed by autopsy.
In unsuccessful resuscitation from out-of-hospital cardiac arrest with pulseless electrical activity as initial rhythm, an autopsy should be performed to determine the correct cause of death.
研究目击心脏骤停后出现无脉电活动且院外复苏失败后的死亡原因；并检测尸检确定的死亡原因与临床病史推断的死亡原因之间是否存在差异。
在这项前瞻性观察研究中，收集了芬兰南部三个城市社区接受紧急医疗服务治疗的91例患者的数据。
59例进行了尸检以确定死亡原因，32例未进行尸检。与进行尸检的病例相比，未进行尸检的病例中急性心肌梗死的诊断明显更多，而肺栓塞、主动脉夹层和破裂的诊断更少。
对于以无脉电活动为初始心律的院外心脏骤停复苏失败的情况，应进行尸检以确定正确的死亡原因。
