Zou Xiuli, Wu Tiejun, Zhang Lina, Zhang Xihong, Tian Hui
Intensive Care Unit, Liaocheng People's Hospital Shandong 252000, China.
Int J Clin Exp Med. 2015 Feb 15;8(2):3030-3. eCollection 2015.
To investigate the effect of intravascular heat exchange in saving the lives of patients after cardiopulmonary resuscitation.
The clinical data of a female patient who was given cardiopulmonary resuscitation for 1.67 h in July 2014 in our hospital was retrospectively analyzed. An intravascular heat exchange procedure was performed on the patient to control her body temperature. Comprehensive treatment measures also included mechanical ventilation, vasoactive agents, and osmotic dehydrating agents to reduce the elevated intracranial pressure, improving cerebral metabolism and anti-infective therapy.
After providing an intravascular heat exchange for 6 h, the patient's eyes automatically opened but the patient was unconscious. After 28 h, the patient became conscious. The breathing machine was withdrawn after 2 d and the vasoactive agents were stopped after 5 d. The patient was discharged after 17 d.
Intravascular heat exchange could be an important complementary treatment to cardiopulmonary resuscitation.
探讨血管内热交换在心肺复苏后挽救患者生命中的作用。
回顾性分析2014年7月在我院接受1.67小时心肺复苏的一名女性患者的临床资料。对该患者进行血管内热交换程序以控制其体温。综合治疗措施还包括机械通气、血管活性药物和渗透性脱水剂以降低升高的颅内压、改善脑代谢及抗感染治疗。
进行血管内热交换6小时后,患者眼睛自动睁开但仍无意识。28小时后,患者意识恢复。2天后撤掉呼吸机,5天后停用血管活性药物。17天后患者出院。
血管内热交换可能是心肺复苏的一项重要辅助治疗手段。