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[急性肺栓塞与心脏骤停的溶栓及自动胸外按压装置治疗]

[Acute pulmonary embolism and cardiac arrest treated with thrombolysis and an automatic chest compression device].

作者信息

Tranberg Tinne, Vagner Nis-Joachim, Christensen Alf, Ilkjær Lars, Terkelsen Christian Juhl

机构信息

Hjertemedicinsk Afdeling B, Aarhus Universitetshospital, Brendstrupgårdsvej 100, Aarhus N.

出版信息

Ugeskr Laeger. 2013 Sep 2;175(36):2043-4.

Abstract

Survival after pulseless electrical activity cardiac arrest is poor. In this case report we describe a patient who had acute massive pulmonary embolism and was treated with thrombolysis and an automatic mechanical chest compression device, Lund University Cardiac Arrest System (LUCAS 2). Chest compressions were effectively provided for two hours during a prolonged resuscitation and transferral for pulmonary embolectomy. The patient was extubated one day after the operation and discharged with normal cerebral function nine days after the cardiac arrest.

摘要

无脉电活动心脏骤停后的生存率很低。在本病例报告中,我们描述了一名患有急性大面积肺栓塞的患者,该患者接受了溶栓治疗,并使用了自动机械胸外按压装置——隆德大学心脏骤停系统(LUCAS 2)。在长时间的复苏以及转往进行肺栓子切除术的过程中,胸外按压有效进行了两个小时。患者术后一天拔除气管插管,心脏骤停九天后出院,脑功能正常。

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