Harper S J, Wilkes R G
Department of Anaesthetics, Royal Liverpool Hospital.
Anaesthesia. 1991 Mar;46(3):199-201. doi: 10.1111/j.1365-2044.1991.tb09409.x.
The neurological assessment of patients admitted to the intensive care unit after successful resuscitation from cardiopulmonary arrest may be difficult. We describe the cases of two patients who developed myoclonus within 24 hours of hypoxic respiratory and cardiac arrest. Initially, the clonic movements were thought to be generalised convulsions and were treated as such, until it became evident that the patients were aware and distressed. Posthypoxic myoclonus is a rare complication of successful cardiopulmonary resusitation. Recognition depends on the awareness that the syndrome exists, and is important so that correct therapy can be instituted. There may be important prognostic implications. Both our patients had normal intellectual recovery with moderate residual neurological disability from their movement disorder.
对心肺骤停成功复苏后入住重症监护病房的患者进行神经学评估可能会很困难。我们描述了两名患者的病例，他们在缺氧性呼吸和心脏骤停后24小时内出现了肌阵挛。起初，阵挛性运动被认为是全身性惊厥，并据此进行了治疗，直到明显看出患者有意识且痛苦。缺氧后肌阵挛是心肺复苏成功后的一种罕见并发症。认识到该综合征的存在是识别的关键，这对于能够开展正确治疗非常重要。这可能具有重要的预后意义。我们的两名患者智力恢复正常，但因运动障碍遗留了中度神经功能残疾。
