Dupont A, Biarent D
Service de réanimation pédiatrique, hôpitaux pédiatriques de Nice, CHU-Lenval, 57, avenue de la Californie, 06000 Nice, France.
Ann Fr Anesth Reanim. 2013 Jan;32(1):e55-9. doi: 10.1016/j.annfar.2012.10.026. Epub 2012 Dec 5.
The occurrence of post-cardiac arrest syndrome may lead to death in some children who have recovered from a cardiac arrest. The post-cardiac arrest syndrome includes systemic ischaemia/reperfusion response, brain injury, myocardial dysfunction, and persistence of the precipitating pathology. The main cause of death is brain injury. Management includes strictly control of ventilation, oxygen therapy and haemodynamics associated with protection of the brain against any secondary injury: management of seizures, control of glycaemia and central temperature. Mild hypothermia should be considered in comatose children after cardiac arrest.
心脏骤停后综合征的发生可能导致一些从心脏骤停中恢复过来的儿童死亡。心脏骤停后综合征包括全身缺血/再灌注反应、脑损伤、心肌功能障碍以及引发病症的持续存在。主要死因是脑损伤。治疗措施包括严格控制通气、氧疗以及与保护大脑免受任何继发性损伤相关的血流动力学管理：控制癫痫发作、控制血糖和中心体温。对于心脏骤停后的昏迷儿童，应考虑进行轻度低温治疗。
