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[创伤性心脏骤停的治疗]

[The treatment of traumatic cardiac arrest].

作者信息

Kassai Tamás, Baranyi Krisztina

机构信息

1 Dr. Manninger Jenő Baleseti Központ Budapest Magyarország.

2 Magyar Resuscitatiós Társaság Budapest Magyarország.

出版信息

Orv Hetil. 2023 Apr 2;164(13):499-503. doi: 10.1556/650.2023.32731.

Abstract

The pathophysiology, formation and course of traumatic cardiac arrest differs from other types of circulatory arrests, leading to some specific considerations regarding cardiopulmonary resuscitation in this condition. The treatment of reversible causes takes a higher priority than initiating chest compressions. The success of the management and treatment of patients suffering traumatic cardiac arrest depends on early timing and a well-organized chain of survival, including not only advanced prehospital care, but also further therapy in special trauma centers. In our review article, we briefly summarize the pathophysiology of traumatic cardiac arrest - to help the understanding of each therapeutic element - as well as the most important diagnostic and therapeutic tools applied during cardiopulmonary resuscitation. The most common causes of traumatic cardiac arrest are described with the solution strategies necessary for their rapid elimination. Orv Hetil. 2023; 164(13): 499-503.

摘要

创伤性心脏骤停的病理生理学、形成过程和病程与其他类型的循环骤停不同,这导致在这种情况下进行心肺复苏时需要一些特殊考虑。治疗可逆病因比开始胸外按压更具优先级。创伤性心脏骤停患者的管理和治疗成功与否取决于早期时机以及组织良好的生存链,这不仅包括高级院前护理,还包括在特殊创伤中心的进一步治疗。在我们的综述文章中,我们简要总结了创伤性心脏骤停的病理生理学——以帮助理解每个治疗要素——以及心肺复苏期间应用的最重要的诊断和治疗工具。描述了创伤性心脏骤停的最常见原因以及快速消除这些原因所需的解决策略。《匈牙利医学周报》。2023年;164(13):499 - 503。

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