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自动胸外按压在计算机断层扫描期间允许充分复苏以揭示院内心脏骤停的原因——一例病例报告。

Automated Chest Compression Allows Sufficient Resuscitation During Computed Tomography to Reveal the Cause of In-hospital Cardiac Arrest-A Case Report.

作者信息

Eck Torsten, Mueller-Botz Stephan, Klausenitz Catharina, Usichenko Taras

机构信息

Department of Anesthesiology, University Medicine of Greifswald, Greifswald, Germany.

Department of Radiology, University Medicine of Greifswald, Greifswald, Germany.

出版信息

Turk J Anaesthesiol Reanim. 2021 Jun;49(3):254-256. doi: 10.5152/TJAR.2021.318.

Abstract

Computed tomography (CT) may be used to determine the reversible causes of in-hospital cardiac arrest (IHCA), while the automated chest compression devices (ACCDs) might be helpful to maintain sufficient circulation in x-ray environment during CT. We describe a case, where ACCD was used for continuous cardiopulmonary resuscitation during the CT procedure in an 82-year-old patient with IHCA of unknown cause. Artifact-free CT helped to identify the retroperitoneal hemorrhage as a cause of IHCA, which could not be identified using bedside diagnostics. This observation suggests ACCDs as a helpful adjunct for cardiopulmonary resuscitation in patients undergoing CT diagnostics of IHCA.

摘要

计算机断层扫描(CT)可用于确定院内心脏骤停(IHCA)的可逆性病因,而自动胸外按压装置(ACCD)可能有助于在CT检查期间于X线环境中维持充足的循环。我们描述了一例病例,一名82岁不明原因IHCA患者在CT检查过程中使用ACCD进行持续心肺复苏。无伪影的CT有助于确定腹膜后出血为IHCA的病因,而床边诊断无法识别该病因。这一观察结果表明,ACCD对于接受IHCA的CT诊断的患者而言,是心肺复苏的一种有用辅助手段。

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本文引用的文献

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Mechanical CPR: Who? When? How?机械心肺复苏术:谁?何时?如何?
Crit Care. 2018 May 29;22(1):140. doi: 10.1186/s13054-018-2059-0.

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