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一名非神经损伤的多发伤患者尽管存在极端且持续的难治性低血压但未出现不良神经学转归:病例报告

Absence of Adverse Neurological Outcomes in a Non-Neurologically Injured Polytrauma Patient Despite Extreme and Prolonged Treatment-Resistant Hypotension: A Case Report.

作者信息

Sakai Wataru, Okazaki Kayoko, Arakawa Johji, Fujita Satoshi, Yamakage Michiaki

机构信息

From the Department of Anesthesiology, Kitami Red Cross Hospital, Kitami, Hokkaido, Japan.

Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.

出版信息

A A Pract. 2019 Nov 1;13(9):358-361. doi: 10.1213/XAA.0000000000001099.

Abstract

Temporary hypotension after severe trauma might help achieve hemostasis and increase the chances of survival. However, excessive hypotension can lead to adverse neurological sequelae or be fatal. The relationship between the degree of hypotension and neurological prognosis after trauma is not fully understood. Our report describes a patient with severe trauma who survived with a favorable neurological outcome despite extreme and prolonged treatment-resistant hypotension.

摘要

严重创伤后的暂时性低血压可能有助于实现止血并增加存活几率。然而,过度低血压可导致不良神经后遗症或致命。创伤后低血压程度与神经预后之间的关系尚未完全明确。我们的报告描述了一名严重创伤患者,尽管存在极端且长期难治性低血压,但仍存活且神经功能预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cec/6818994/70b80456660d/acc-13-358-g002.jpg

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