一例创伤性心脏骤停患者经振幅整合脑电图预测神经功能预后良好
A case of traumatic cardiopulmonary arrest with good neurological outcome predicted by amplitude-integrated electroencephalogram.
作者信息
Harada Ko, Tsukahara Kohei, Yumoto Tetsuya, Yamakawa Yasuaki, Iida Atsuyoshi, Naito Hiromichi, Nakao Atsunori
机构信息
Department of Emergency and Critical Care Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kitaku, Okayama 700-8558, Japan.
Department of Emergency and Critical Care Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kitaku, Okayama 700-8558, Japan.
出版信息
Int J Surg Case Rep. 2017;36:42-45. doi: 10.1016/j.ijscr.2017.04.025. Epub 2017 May 15.
INTRODUCTION
Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare.
PRESENTATION OF CASE
We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings.
DISCUSSION
This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions.
CONCLUSION
Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.
引言
创伤性心肺骤停死亡率极高，在此情况下患者存活且无神经功能障碍的情况极为罕见。
病例介绍
我们在此报告一例因意外左小腿截肢继发创伤性心肺骤停的病例，该患者成功接受治疗，未出现任何高级脑功能障碍。尽管该患者心肺骤停持续时间较长提示存在缺氧缺血性脑病，但振幅整合脑电图显示结果正常。
讨论
该系统可能有助于重症监护医生在临床病程早期评估疑似缺氧缺血性脑病患者的神经状况，并可能有助于指导治疗干预。
结论
我们的病例支持使用振幅整合脑电图进行神经监测的有效性。
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