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电击伤复苏后结局的预测

Prediction of outcome after resuscitation in a case of electrocution.

作者信息

Veneman T F, van Dijk G W, Boereboom E, Joore H, Savelkoul T J

机构信息

Department of Intensive Care and Clinical Toxicology, University Hospital Utrecht, The Netherlands.

出版信息

Intensive Care Med. 1998 Mar;24(3):255-7. doi: 10.1007/s001340050560.

Abstract

Electrical shocks commonly cause widespread acute and delayed tissue damage. Cardiac arrhythmias and respiratory arrest are the most life-threatening complications in the acute phase. Prediction of outcome after cardiopulmonary resuscitation is usually based on neurological findings compatible with anoxic encephalopathy. This report describes a case of electrocution followed by cardiopulmonary resuscitation. Although neurological signs on admission pointed towards severe brain injury, the patient fully recovered and was able to resume the level of cognitive functioning prior to the accident.

摘要

电击通常会导致广泛的急性和延迟性组织损伤。心律失常和呼吸骤停是急性期最危及生命的并发症。心肺复苏术后的预后预测通常基于与缺氧性脑病相符的神经学检查结果。本报告描述了一例电击后进行心肺复苏的病例。尽管入院时的神经学体征表明存在严重脑损伤,但患者完全康复,能够恢复到事故前的认知功能水平。

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