Cotton D W, Gallagher P J, Sleet R A
Resuscitation. 1984 Nov;12(3):181-5. doi: 10.1016/0300-9572(84)90004-2.
Two cases of subendocardial infarction noted at autopsy in young boys are reported. Both patients were resuscitated and maintained on ventilation following significant periods of cardiac arrest. Presumably the infarct occurred at the time of arrest, secondary to inadequate myocardial perfusion, and became visible at autopsy because both children were maintained on assisted ventilation long enough for the gross and microscopical changes to develop. The significance of this phenomenon for survivors of successful post cardiac arrest resuscitation is discussed.
报告了两例在尸检时发现的年轻男孩心内膜下梗死病例。两名患者在经历长时间心脏骤停后均被复苏并维持通气。推测梗死发生在心脏骤停时，继发于心肌灌注不足，并且在尸检时可见，因为两个孩子接受辅助通气的时间足够长，足以使大体和微观变化得以显现。本文讨论了这一现象对心脏骤停后复苏成功的幸存者的意义。
