Gaba Waqar Haider, El Hag Shahad Abobakar, Bashir Shaima Mustafa
Internal Medicine Department, Sheikh Khalifa Medical City, Abu Dhabi, UAE.
Case Rep Crit Care. 2022 Feb 15;2022:3322056. doi: 10.1155/2022/3322056. eCollection 2022.
The Lazarus phenomenon described as delayed return of spontaneous circulation (ROSC) after cessation of CPR is rare, though underreported. We present the case of a 25-year-old woman who visited our hospital for persistent vomiting and weight loss for the last six months following bariatric surgery. On the 16 day of admission, the patient experienced cardiac arrest (code blue). The patient underwent 73 min of continuous cardiopulmonary resuscitation (CPR); however, no responses were observed, which led to an announcement of death. Fifty minutes later, the family members noticed subtle eye movements that necessitated resumption of the advanced cardiac life support protocol and resuscitation. The patient survived; however, she developed significant neurological deficits secondary to prolonged anoxic brain injury. She was discharged after a ten-week stay in the hospital but did not achieve full neurologic, cognitive, and motor recovery. Patients should be observed and monitored after the cessation of CPR before confirming death.
被描述为心肺复苏（CPR）停止后延迟恢复自主循环（ROSC）的拉撒路现象很罕见，尽管报道不足。我们报告一例25岁女性病例，该患者在减肥手术后的最后六个月因持续呕吐和体重减轻前来我院就诊。入院第16天，患者发生心脏骤停（蓝色代码）。患者接受了73分钟的持续心肺复苏；然而，未观察到任何反应，最终宣布死亡。50分钟后，家属注意到细微的眼球运动，这使得高级心脏生命支持方案和复苏措施得以恢复。患者存活下来；然而，由于长时间缺氧性脑损伤，她出现了严重的神经功能缺损。她在住院十周后出院，但未实现神经、认知和运动功能的完全恢复。在确认死亡之前，应对停止CPR后的患者进行观察和监测。
