雪崩掩埋后意外低温性心脏骤停体外复温过程中应变异常的消退
Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial.
作者信息
Fischer Kady, Kauert-Willms Annegret, Heinisch Paul Philipp, Kadner Alexander, Jenni Hansjörg, Eberle Balthasar, Erdoes Gabor, Guensch Dominik P
机构信息
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
出版信息
JACC Case Rep. 2020 Dec 9;3(1):99-103. doi: 10.1016/j.jaccas.2020.09.033. eCollection 2021 Jan.
A hypothermic avalanche victim underwent, during extracorporeal warming from asystolic arrest, 3-dimensional transesophageal echocardiography. At 33°C core temperature, left ventricular ejection fraction had recovered, whereas myocardial strain still demonstrated significant dysfunction until 36°C. Deformation analysis seems more sensitive than global assessment during myocardial recovery from hypothermic cardiac arrest. ().
一名体温过低的雪崩受害者在心脏停搏后进行体外复温期间接受了三维经食管超声心动图检查。在核心体温为33°C时，左心室射血分数已恢复，而心肌应变在体温升至36°C之前仍显示出明显的功能障碍。在低温心脏骤停后的心肌恢复过程中，形变分析似乎比整体评估更为敏感。（）
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