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当一名死亡患者并非真的死亡时：拉撒路现象。

When a Dead Patient Is Not Really Dead: Lazarus Phenomenon.

作者信息

Sharma Munish, Chandna Megha, Nguyen Thang, Vakil Abhay, Franco Rene, Ratnani Iqbal, Varon Joseph, Surani Salim

机构信息

Department of Pulmonary Medicine, Corpus Christi Medical Center, Texas, USA.

Texas A&M University, Bryan College Station, Texas, USA.

出版信息

Case Rep Crit Care. 2020 Sep 18;2020:8841983. doi: 10.1155/2020/8841983. eCollection 2020.

DOI:10.1155/2020/8841983
PMID:33014476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519975/
Abstract

Lazarus phenomenon refers to autoresuscitation of a patient declared dead after cessation of cardiopulmonary resuscitation (CPR). The Lazarus phenomenon is rarely encountered and pathophysiology is not very well understood, but physicians need to be aware of this phenomenon. It is prudent that a physician leading a CPR effort waits for some time and monitors the patient further using blood pressure and electrocardiogram before confirming that a patient is actually dead.

摘要

拉撒路现象是指在心肺复苏（CPR）停止后被宣布死亡的患者出现自主复苏。拉撒路现象很少见，其病理生理学也不太为人所理解，但医生需要了解这种现象。在确认患者确实死亡之前，负责心肺复苏的医生谨慎的做法是等待一段时间，并使用血压和心电图进一步监测患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/57740a9fc882/CRICC2020-8841983.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/171c65f5b074/CRICC2020-8841983.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/5d387992abb9/CRICC2020-8841983.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/ddb7f86189e6/CRICC2020-8841983.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/57740a9fc882/CRICC2020-8841983.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/171c65f5b074/CRICC2020-8841983.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/5d387992abb9/CRICC2020-8841983.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/ddb7f86189e6/CRICC2020-8841983.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48f/7519975/57740a9fc882/CRICC2020-8841983.004.jpg

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本文引用的文献

1
Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review.心肺复苏终止后自主复苏（拉撒路现象）——范围综述。
Scand J Trauma Resusc Emerg Med. 2020 Feb 26;28(1):14. doi: 10.1186/s13049-019-0685-4.
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Acute Adrenal Insufficiency in the Perioperative Period: A Case Report.围手术期急性肾上腺功能不全：一例报告
A A Pract. 2019 Feb 1;12(3):63-65. doi: 10.1213/XAA.0000000000000846.
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The Lazarus phenomenon.拉撒路现象。
JRSM Open. 2016 Aug 1;7(8):2054270416653523. doi: 10.1177/2054270416653523. eCollection 2016 Aug.
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Intractable Central Hyperthermia in the Setting of Brainstem Hemorrhage.脑干出血情况下的顽固性中枢性高热
Ther Hypothermia Temp Manag. 2016 Jun;6(2):98-101. doi: 10.1089/ther.2016.0004. Epub 2016 Mar 16.
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Autoresuscitation: A Case and Discussion of the Lazarus Phenomenon.自动复苏：一例拉撒路现象病例及讨论
Case Rep Med. 2015;2015:724174. doi: 10.1155/2015/724174. Epub 2015 Jun 8.
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Perioperative management of a patient with myxedema coma and septicemic shock.黏液水肿昏迷合并败血症性休克患者的围手术期管理
Indian J Crit Care Med. 2012 Oct;16(4):228-30. doi: 10.4103/0972-5229.106510.
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Unintended perioperative hypothermia.围手术期意外低温
Ochsner J. 2011 Fall;11(3):259-70.
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A systematic review of autoresuscitation after cardiac arrest.心脏骤停后自主复苏的系统评价。
Crit Care Med. 2010 May;38(5):1246-53. doi: 10.1097/CCM.0b013e3181d8caaa.