Badila Raluca, Mustatea Simina, Neamtu Sandra, Roman Corina
Anesthesia and Critical Care, County Clinical Emergency Hospital of Sibiu, Sibiu, ROU.
Pulmonology, Clinical Pneumology Hostpital of Sibiu, Sibiu, ROU.
Cureus. 2024 Aug 28;16(8):e67986. doi: 10.7759/cureus.67986. eCollection 2024 Aug.
A 20-year-old female was admitted to the hospital after a successful resuscitation from a cardiac arrest due to ventricular fibrillation. She had no prior medical history. The patient was rescued from her house, brought to the hospital with sinus rhythm, sedated, in a coma. Electrocardiography showed no modifications other than the ventricular extrasystoles. Computed tomography showed an epicranian hematoma from the fall that occurred during the cardiac arrest, a heart with a thickened interventricular septum, and the other organs being within physiological limits. Magnetic resonance imaging showed late hypoxic leukoencephalopathy with a level of the white matter of the semioval centers, radiating corona, splenium corpus callosum, and internal capsular posterior arm with extension to the cerebral peduncles. The patient achieved a good neurological outcome with target temperature management and had small neurological improvements every day after resuming spontaneous breathing. After a long intensive care and hospitalization period of six weeks, she was discharged, able to resume her societal status and be a fully recovered individual.
一名20岁女性因室颤导致心脏骤停复苏成功后入院。她既往无病史。患者从家中被救出，送至医院时为窦性心律，处于昏迷且已镇静状态。心电图显示除室性期前收缩外无其他改变。计算机断层扫描显示心脏骤停期间跌倒所致的头皮血肿、室间隔增厚的心脏，其他器官均在生理范围内。磁共振成像显示晚期缺氧性白质脑病，累及半卵圆中心、放射冠、胼胝体压部和内囊后肢白质，病变延伸至脑桥。患者通过目标温度管理取得了良好的神经功能转归，恢复自主呼吸后每天神经功能都有小幅改善。经过为期六周的长时间重症监护和住院治疗后，她出院了，能够恢复其社会角色，成为完全康复的个体。
