Niu Kevyn, Aldakkour Jamie Lee, Huyghues-Despointes Charles, Lin Yizhi
HCA Florida Blake Hospital, Bradenton, FL.
HCA Healthc J Med. 2023 Dec 30;4(6):421-423. doi: 10.36518/2689-0216.1511. eCollection 2023.
Lazarus syndrome is defined as the spontaneous return of circulation after cessation of cardiopulmonary resuscitation (CPR). Though there have been multiple cases of Lazarus syndrome documented in the literature, it is a significantly underreported phenomenon with less than 100 cases reported in the literature since the first case in 1982.
After elective aortic aneurysm repair, an 88-year-old with a do-not-resuscitate directive had cardiac arrest, briefly showing post-mortem respiration and pulse. Despite resuscitation efforts including pharmacological intervention and CPR, he passed away within an hour. This case highlights complexities in end-of-life care and warrants exploration of post-mortem physiological responses.
The Lazarus phenomenon, rare post-CPR circulation return, challenges resuscitation cessation. Our case, among the oldest, highlights extended monitoring necessity, especially in chronic obstructive pulmonary disease patients. Debate persists on monitoring duration after failed CPR, lacking established Lazarus syndrome prevention guidelines.
拉撒路综合征被定义为心肺复苏（CPR）停止后循环的自发恢复。尽管文献中已记录了多例拉撒路综合征病例，但这是一种报告严重不足的现象，自1982年首例病例以来，文献报道的病例不到100例。
一名88岁有不进行心肺复苏指令的患者在择期主动脉瘤修复术后发生心脏骤停，短暂出现尸检呼吸和脉搏。尽管进行了包括药物干预和心肺复苏在内的复苏努力，但他在一小时内死亡。该病例凸显了临终关怀中的复杂性，值得探讨死后的生理反应。
拉撒路现象，即心肺复苏后罕见的循环恢复，对停止复苏提出了挑战。我们的病例是年龄最大的病例之一，凸显了延长监测的必要性，尤其是在慢性阻塞性肺疾病患者中。对于心肺复苏失败后的监测持续时间仍存在争议，缺乏既定的拉撒路综合征预防指南。
