Christensen Martin Kirk, Rognås Leif, Løfgren Bo, Søndergaard Hanne Maare
Medicinsk Afdeling, Regionshospitalet Viborg/Skive, Heibergs Allé 4, 8800 Viborg, Denmark.
Ugeskr Laeger. 2012 May 14;174(20):1387-8.
Resuscitation after cardiac arrest is unlikely if a reversible cause is not identified and treated. The potentially reversible causes can be described as hypoxia, hypovolaemia, hypo-/hyper-kalaemia/other metabolic disorders, hypothermia and tension pneumothorax, tamponade (cardiac), toxins and thrombus. We report a case in which thrombolysis was used successfully during prolonged resuscitation. The patient was later confirmed to have had a massive pulmonary embolus. He was discharged to his home 13 days after cardiac arrest without any sign of neurological deficit.
如果未能识别和治疗可逆性病因，心脏骤停后复苏成功的可能性不大。潜在的可逆性病因包括缺氧、低血容量、低钾血症/高钾血症/其他代谢紊乱、体温过低、张力性气胸、心包填塞、毒素和血栓。我们报告一例在长时间复苏过程中成功使用溶栓治疗的病例。该患者后来被确诊为大面积肺栓塞。心脏骤停13天后他出院回家，没有任何神经功能缺损的迹象。
