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院外心脏骤停患者的降温治疗——下一个前沿领域？

Prehospital cooling in cardiac arrest--the next frontier?

机构信息

Department of Anaesthesia and Intensive Care, Stavanger University Hospital, Stavanger, Norway.

出版信息

Scand J Trauma Resusc Emerg Med. 2009 Oct 12;17:54. doi: 10.1186/1757-7241-17-54.

DOI:10.1186/1757-7241-17-54
PMID:19821973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2767341/
Abstract

Therapeutic hypothermia (TH) in unconscious survivors of out-of-hospital cardiac arrest (OHCA) is now a well-documented part of post-resuscitation care. Implementation of TH into daily clinical practice has been far more successful in the Scandinavian countries than in the rest of the world. Still, many questions remain. One of them is whether prehospital cooling will result in better outcomes.

摘要

治疗性低体温（TH）在院外心脏骤停（OHCA）无意识幸存者中现在是复苏后护理的一个有充分文献记录的部分。在日常临床实践中实施 TH 在斯堪的纳维亚国家比在世界其他地区更为成功。尽管如此，仍有许多问题悬而未决。其中之一是院前降温是否会带来更好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4888/2767341/29b83ceefe83/1757-7241-17-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4888/2767341/29b83ceefe83/1757-7241-17-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4888/2767341/29b83ceefe83/1757-7241-17-54-1.jpg

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本文引用的文献

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Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard.心肺复苏后院前治疗性低温——从当前概念到未来标准。
Scand J Trauma Resusc Emerg Med. 2009 Oct 12;17:53. doi: 10.1186/1757-7241-17-53.
2
Out-of-hospital therapeutic hypothermia in cardiac arrest victims.院外心脏骤停患者的治疗性低温。
Scand J Trauma Resusc Emerg Med. 2009 Oct 12;17:52. doi: 10.1186/1757-7241-17-52.
3
Outcome, timing and adverse events in therapeutic hypothermia after out-of-hospital cardiac arrest.院外心脏骤停后治疗性低温的结局、时机及不良事件
Acta Anaesthesiol Scand. 2009 Aug;53(7):926-34. doi: 10.1111/j.1399-6576.2009.02021.x. Epub 2009 Jun 22.
4
Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; the Council on Stroke.心脏骤停后综合征：流行病学、病理生理学、治疗及预后。国际复苏联合委员会、美国心脏协会急救心血管护理委员会、心血管外科和麻醉委员会、心肺、围手术期和重症监护委员会、临床心脏病学委员会、中风委员会的科学声明。
Resuscitation. 2008 Dec;79(3):350-79. doi: 10.1016/j.resuscitation.2008.09.017. Epub 2008 Oct 28.
5
Prognostication after out-of-hospital cardiac arrest, a clinical survey.院外心脏骤停后的预后评估，一项临床调查。
Scand J Trauma Resusc Emerg Med. 2008 Sep 15;16:9. doi: 10.1186/1757-7241-16-9.
6
Induced hypothermia and fever control for prevention and treatment of neurological injuries.诱导性低温与发热控制用于预防和治疗神经损伤。
Lancet. 2008 Jun 7;371(9628):1955-69. doi: 10.1016/S0140-6736(08)60837-5.
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J Am Coll Cardiol. 2008 May 20;51(20):1988-90. doi: 10.1016/j.jacc.2007.12.057.
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Curr Opin Anaesthesiol. 2008 Apr;21(2):209-15. doi: 10.1097/ACO.0b013e3282f51d6d.