Fröhlich Georg M, Lyon Richard M, Sasson Comilla, Crake Tom, Whitbread Mark, Indermuehle Andreas, Timmis Adam, Meier Pascal
Senior Lecturer and Consultant Cardiologist, The Heart Hospital, University College Hospital, 16-18 Westmoreland Street, London W1G 8PH, UK.
Curr Cardiol Rev. 2013 Nov;9(4):316-24. doi: 10.2174/1573403x10666140214121152.
Out-of-hospital cardiac arrest (OHCA) has attracted increasing attention over the past years because outcomes have improved impressively lately. The changes for neurological intact outcomes has been poor but several areas have achieved improving survival rates after adjusting their cardiac arrest care. The pre-hospital management is certainly key and decides whether a cardiac arrest patient can be brought back into a spontaneous circulation. However, the whole chain of resuscitation including the in-hospital care have improved also. This review describes aetiologies of OHCA, risk and potential protective factors and recent advances in the pre-hospital and in-hospital management of these patients.
在过去几年中，院外心脏骤停（OHCA）受到了越来越多的关注，因为最近其治疗效果有了显著改善。虽然神经功能完好结局的改善情况不佳，但在调整心脏骤停护理措施后，有几个领域的生存率有所提高。院前管理无疑是关键，它决定了心脏骤停患者能否恢复自主循环。然而，包括院内护理在内的整个复苏链也有所改善。本综述描述了院外心脏骤停的病因、风险和潜在保护因素，以及这些患者院前和院内管理的最新进展。
