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心脏骤停后双侧N20体感诱发电位消失后的良好预后。

A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest.

作者信息

Karunasekara N, Salib S, MacDuff A

机构信息

New Cross Hospital, Wolverhampton, UK.

Royal Stoke University Hospital, Stoke-on-Trent, UK.

出版信息

J Intensive Care Soc. 2016 May;17(2):168-170. doi: 10.1177/1751143715616137. Epub 2015 Nov 17.

DOI:10.1177/1751143715616137
PMID:28979482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5606398/
Abstract

A 51-year-old man suffered a cardiac arrest after an attempted hanging. Post-arrest assessment revealed the bilateral absence of negative 20 somatosensory evoked potentials (N20 SSEPs) which is suggestive of a poor neurological outcome. Current evidence recommends its use in prognostication. Our patient made a good recovery which brings into question the value of negative 20 somatosensory evoked potentials in prognostication with concomitant neck injuries and swelling.

摘要

一名51岁男子在试图上吊后发生心脏骤停。心脏骤停后评估显示双侧体感诱发电位N20缺失，这提示神经预后不良。目前的证据推荐将其用于预后评估。我们的患者恢复良好，这使得伴有颈部损伤和肿胀时N20体感诱发电位在预后评估中的价值受到质疑。

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本文引用的文献

1
Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine.心脏骤停昏迷幸存者的预后评估：欧洲复苏委员会和欧洲重症监护医学学会的一份咨询声明
Resuscitation. 2014 Dec;85(12):1779-89. doi: 10.1016/j.resuscitation.2014.08.011.
2
Bilateral loss of cortical SSEP responses is compatible with good outcome after cardiac arrest.心脏骤停后双侧皮质体感诱发电位反应消失与良好预后相符。
J Neurol. 2012 Nov;259(11):2481-3. doi: 10.1007/s00415-012-6573-8. Epub 2012 Jun 12.
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Neurologic prognosis in cardiac arrest patients treated with therapeutic hypothermia.治疗性低温治疗的心脏骤停患者的神经预后
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Prognostication after cardiac arrest and hypothermia: a prospective study.心脏骤停与低温治疗后的预后预测：一项前瞻性研究。
Ann Neurol. 2010 Mar;67(3):301-7. doi: 10.1002/ana.21984.
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Does hypothermia influence the predictive value of bilateral absent N20 after cardiac arrest?低温是否会影响心脏骤停后双侧 N20 缺失的预测价值？
Neurology. 2010 Mar 23;74(12):965-9. doi: 10.1212/WNL.0b013e3181d5a631.
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Practice parameter: prediction of outcome in comatose survivors after cardiopulmonary resuscitation (an evidence-based review) [RETIRED]: report of the Quality Standards Subcommittee of the American Academy of Neurology.实践参数：心肺复苏术后昏迷幸存者的预后预测（循证综述）[已退休]：美国神经病学学会质量标准小组委员会报告
Neurology. 2006 Jul 25;67(2):203-10. doi: 10.1212/01.wnl.0000227183.21314.cd.
7
Brain function after resuscitation from cardiac arrest.心脏骤停复苏后的脑功能。
Curr Opin Crit Care. 2004 Jun;10(3):213-7. doi: 10.1097/01.ccx.0000127542.32890.fa.