Department of Primary Care and Emergency Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Department of Preventive Services, School of Public Health, Kyoto University, Kyoto, Japan; Department of Emergency Medicine and Critical Care, Japanese Red Cross Society Kyoto Daini Hospital, Kyoto, Japan.
Department of Emergency Medicine and Critical Care, Japanese Red Cross Society Kyoto Daini Hospital, Kyoto, Japan.
Ann Emerg Med. 2019 Apr;73(4):393-396. doi: 10.1016/j.annemergmed.2018.10.031. Epub 2018 Dec 4.
Instantaneous rigor is the immediate appearance of rigor mortis after cardiac arrest. To our knowledge, no previous reports exist on resuscitation of such patients. A young athlete suddenly collapsed with cardiac arrest during a marathon; his legs stiffened with instantaneous rigorlike stiffness. This stiffening provoked hyperkalemia, rhabdomyolysis, and multiple organ failure. We decided to amputate both legs, with venoarterial extracorporeal membrane oxygenation support. The patient recovered and was discharged without neurologic impairment. This rare case highlights the potentially significant effect of instantaneous rigor.
即刻僵硬是心脏骤停后即刻出现的僵硬。据我们所知，以前没有关于此类患者复苏的报告。一名年轻运动员在马拉松比赛中突然心脏骤停倒地，双腿立即出现僵硬的即刻僵硬。这种僵硬引起高钾血症、横纹肌溶解和多器官衰竭。我们决定在静脉动脉体外膜肺氧合支持下截肢双腿。患者恢复并出院，没有神经损伤。这个罕见的病例突出了即刻僵硬的潜在显著影响。
