• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

心肺复苏后发生急性主动脉夹层：经食管超声心动图观察及推测的损伤机制

Acute aortic dissection developed after cardiopulmonary resuscitation: transesophageal echocardiographic observations and proposed mechanism of injury.

作者信息

Lee Dong Keon, Kang Kyung Sik, Cha Yong Sung, Cha Kyoung-Chul, Kim Hyun, Lee Kang Hyun, Hwang Sung Oh

机构信息

Department of Emergency Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

出版信息

Acute Crit Care. 2019 Aug;34(3):228-231. doi: 10.4266/acc.2015.00633. Epub 2018 Apr 26.

DOI:10.4266/acc.2015.00633
PMID:31723934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6849017/
Abstract

There has been no report about aortic dissection due to cardiopulmonary resuscitation (CPR). We present here a case of acute aortic dissection as a rare complication of CPR and propose the potential mechanism of injury on the basis of transesophageal echocardiographic observations. A 54-year-old man presented with cardiac arrest after choking and received 19 minutes of CPR in the emergency department. Transesophageal echocardiography (TEE) during CPR revealed a focal separation of the intimal layer at the descending thoracic aorta without evidence of aortic dissection. After restoration of spontaneous circulation, hemorrhagic cardiac tamponade developed. Follow-up TEE to investigate the cause of cardiac tamponade revealed aortic dissection of the descending thoracic aorta. Hemorrhagic cardiac tamponade was thought to be caused by myocardial hemorrhage from CPR.

摘要

目前尚无关于心肺复苏（CPR）导致主动脉夹层的报道。我们在此报告一例急性主动脉夹层作为CPR罕见并发症的病例，并根据经食管超声心动图观察结果提出潜在的损伤机制。一名54岁男性因窒息后心脏骤停，在急诊科接受了19分钟的CPR。CPR期间经食管超声心动图（TEE）显示胸降主动脉内膜层局灶性分离，但无主动脉夹层证据。自主循环恢复后，出现了出血性心脏压塞。为调查心脏压塞原因进行的随访TEE显示胸降主动脉夹层。出血性心脏压塞被认为是由CPR导致的心肌出血引起的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcf/6849017/0f098c36b574/acc-2015-00633f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcf/6849017/ac3cb0dc6911/acc-2015-00633f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcf/6849017/0f098c36b574/acc-2015-00633f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcf/6849017/ac3cb0dc6911/acc-2015-00633f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcf/6849017/0f098c36b574/acc-2015-00633f2.jpg

相似文献

1
Acute aortic dissection developed after cardiopulmonary resuscitation: transesophageal echocardiographic observations and proposed mechanism of injury.心肺复苏后发生急性主动脉夹层：经食管超声心动图观察及推测的损伤机制
Acute Crit Care. 2019 Aug;34(3):228-231. doi: 10.4266/acc.2015.00633. Epub 2018 Apr 26.
2
Diagnosis of aortic dissection by transesophageal echocardiography during cardiopulmonary resuscitation.经食管超声心动图在心肺复苏期间诊断主动脉夹层。
Am J Emerg Med. 2021 Jan;39:92-95. doi: 10.1016/j.ajem.2020.01.026. Epub 2020 Jan 16.
3
Aortic intimal separation resulting from manual cardiopulmonary resuscitation-completing the spectrum of blunt thoracic aortic injury complicating CPR.由徒手心肺复苏导致的主动脉内膜分离——完善钝性胸主动脉损伤并发心肺复苏的谱系。
Int J Legal Med. 2016 Nov;130(6):1581-1585. doi: 10.1007/s00414-016-1377-5. Epub 2016 May 30.
4
Intra-arrest transesophageal echocardiography during cardiopulmonary resuscitation.心肺复苏期间的心脏骤停时经食管超声心动图检查
Clin Exp Emerg Med. 2022 Dec;9(4):271-280. doi: 10.15441/ceem.22.399. Epub 2022 Dec 7.
5
Thoracic Aortic Rupture Post Cardiopulmonary Resuscitation in a Patient With Previous Thoracic Aneurysm Repair.曾接受胸主动脉瘤修复术的患者心肺复苏后发生胸主动脉破裂
Cureus. 2023 Jun 27;15(6):e41027. doi: 10.7759/cureus.41027. eCollection 2023 Jun.
6
Cardiac tamponade during transesophageal echocardiography in the patient of circumferential aortic dissection.主动脉夹层患者经食管超声心动图检查期间发生心脏压塞。
J Korean Med Sci. 1997 Jun;12(3):266-8. doi: 10.3346/jkms.1997.12.3.266.
7
Surgical outcomes of acute type A aortic dissection in patients undergoing cardiopulmonary resuscitation.心肺复苏术后急性 A 型主动脉夹层的手术治疗结果。
J Thorac Cardiovasc Surg. 2021 Apr;161(4):1173-1180. doi: 10.1016/j.jtcvs.2019.11.135. Epub 2020 Jan 7.
8
Satisfactory recovery after 45 minutes of resuscitation in acute aortic dissection.急性主动脉夹层复苏45分钟后恢复良好。
Crit Care Med. 2002 Sep;30(9):2030-1. doi: 10.1097/00003246-200209000-00012.
9
Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation.心肺复苏术后幸存者的主动脉夹层
Korean J Crit Care Med. 2017 May;32(2):218-222. doi: 10.4266/kjccm.2016.00416. Epub 2016 Dec 29.
10
Intra-arrest transoesophageal echocardiographic findings and resuscitation outcomes.心脏骤停期间经食管超声心动图检查结果与复苏结局
Resuscitation. 2020 Sep;154:31-37. doi: 10.1016/j.resuscitation.2020.06.035. Epub 2020 Jul 10.

引用本文的文献

1
Cardiac Arrest as an Uncommon Manifestation of Late Type A Aortic Dissection Associated with Transcatheter Aortic Valve Replacement.心脏骤停作为晚期A型主动脉夹层合并经导管主动脉瓣置换术的一种罕见表现。
J Clin Med. 2023 Aug 16;12(16):5318. doi: 10.3390/jcm12165318.
2
Thoracic Aortic Rupture Post Cardiopulmonary Resuscitation in a Patient With Previous Thoracic Aneurysm Repair.曾接受胸主动脉瘤修复术的患者心肺复苏后发生胸主动脉破裂
Cureus. 2023 Jun 27;15(6):e41027. doi: 10.7759/cureus.41027. eCollection 2023 Jun.
3
Intra-arrest transesophageal echocardiography during cardiopulmonary resuscitation.

本文引用的文献

1
Aortic intramural hematoma and hepatic artery pseudoaneurysm: unusual complication following resuscitation.主动脉壁内血肿和肝动脉假性动脉瘤：复苏后罕见的并发症。
Am J Emerg Med. 2014 Jan;32(1):107.e1-4. doi: 10.1016/j.ajem.2013.08.012. Epub 2013 Sep 21.
2
Acute traumatic thoracic aortic injuries: experience with 64-MDCT.急性创伤性胸主动脉损伤：64层螺旋CT的应用经验
AJR Am J Roentgenol. 2008 Nov;191(5):1564-9. doi: 10.2214/AJR.07.3349.
3
Forensic aspects of complications resulting from cardiopulmonary resuscitation.心肺复苏并发症的法医学问题。
心肺复苏期间的心脏骤停时经食管超声心动图检查
Clin Exp Emerg Med. 2022 Dec;9(4):271-280. doi: 10.15441/ceem.22.399. Epub 2022 Dec 7.
4
Blunt traumatic aortic dissection death by falling: an autopsy case report.坠落导致钝性创伤性主动脉夹层死亡：一例尸检病例报告
Forensic Sci Med Pathol. 2023 Sep;19(3):388-392. doi: 10.1007/s12024-022-00527-9. Epub 2022 Sep 7.
5
Aortic Rupture as a Complication of Cardiopulmonary Resuscitation.主动脉破裂作为心肺复苏的一种并发症。
JACC Case Rep. 2020 Jul 15;2(8):1150-1154. doi: 10.1016/j.jaccas.2020.05.050. eCollection 2020 Jul.
Leg Med (Tokyo). 2007 Mar;9(2):94-9. doi: 10.1016/j.legalmed.2006.11.008. Epub 2007 Feb 2.
4
Derivation of a clinical decision rule to exclude thoracic aortic imaging in patients with blunt chest trauma after motor vehicle collisions.机动车碰撞后钝性胸部创伤患者排除胸主动脉成像的临床决策规则的推导
J Trauma. 2006 Nov;61(5):1150-5. doi: 10.1097/01.ta.0000239357.68782.30.
5
Skeletal chest injuries secondary to cardiopulmonary resuscitation.心肺复苏继发的胸部骨骼损伤。
Resuscitation. 2004 Dec;63(3):327-38. doi: 10.1016/j.resuscitation.2004.05.019.
6
Changes of aortic dimensions as evidence of cardiac pump mechanism during cardiopulmonary resuscitation in humans.主动脉尺寸变化作为人类心肺复苏期间心脏泵血机制的证据。
Resuscitation. 2001 Jul;50(1):87-93. doi: 10.1016/s0300-9572(01)00319-7.
7
Thoracic aortic injury: how predictive is mechanism and is chest computed tomography a reliable screening tool? A prospective study of 1,561 patients.胸主动脉损伤：机制的预测性如何，胸部计算机断层扫描是否为可靠的筛查工具？一项对1561例患者的前瞻性研究。
J Trauma. 2000 Apr;48(4):673-82; discussion 682-3. doi: 10.1097/00005373-200004000-00015.
8
Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury.螺旋计算机断层扫描在评估有潜在主动脉损伤的钝性创伤患者中的应用。
J Trauma. 1998 Nov;45(5):922-30. doi: 10.1097/00005373-199811000-00014.
9
Transesophageal echocardiographic assessment of mitral valve position and pulmonary venous flow during cardiopulmonary resuscitation in humans.经食管超声心动图对人类心肺复苏期间二尖瓣位置及肺静脉血流的评估
Circulation. 1995 Aug 15;92(4):854-61. doi: 10.1161/01.cir.92.4.854.
10
Complications of cardiac resuscitation.心脏复苏的并发症。
Chest. 1987 Aug;92(2):287-91. doi: 10.1378/chest.92.2.287.