Nincević N, Mlinarić J
Sluzba za anesteziju i intenzivno lijecenje Opće bolnice Zadar.
Lijec Vjesn. 1995 Jun;117 Suppl 2:89-90.
A case of an effective cardiopulmonary resuscitation in a 71-year-old woman following drowning in a cold water and cardiopulmonary arrest for at least 20 minutes is presented. Intubation, ventilation with 100% oxygen, external cardiac massage and administration of adrenaline, 1 mg intravenously, were implemented. Ventricular fibrillation, which occurred after adrenaline therapy, responded to electrical defibrillation with 200 J and converted into a sinus rhythm. Metabolic acidosis was corrected by intravenous sodium bicarbonate administration. The patient became gradually conscious, and she was weaned from mechanical respiration after 12 hours. Subsequently, the patient was extubated. There were no neurological deficits.
本文报告了一例71岁女性溺水后心脏骤停至少20分钟，经有效心肺复苏成功的病例。实施了气管插管、100%氧气通气、胸外心脏按压以及静脉注射1毫克肾上腺素。肾上腺素治疗后出现的室颤，经200焦耳电除颤后恢复为窦性心律。通过静脉输注碳酸氢钠纠正代谢性酸中毒。患者逐渐恢复意识，12小时后停止机械通气，随后拔除气管插管，未遗留神经功能缺损。
