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心脏骤停后综合征的早期血流动力学优化(2)
http://www.100md.com 2010年12月1日 《心脑血管病防治》 2010年第6期
     倘若扩容、血管活性药物与强心药不能恢复足够的组织器官灌注,那么就需要考虑使用辅助 循环装置[13,14]。在心脏骤停自主循环恢复后24~48h间容易出现严重的心肌功 能障碍,此时机械辅助循环对循环系统可以起到支持作用[12]。近年报道主动脉内 球囊反搏是改善心肌灌注最迅速有效的装置[2,15]。其他一些方法还包括经皮心 肺旁路、体外膜肺氧合及经胸心室辅助装置等。

    目前,心脏骤停后恢复自主循环病人的死亡率及脑功能致残率仍相当高,心脏骤停后综合征 的血流动力学障碍是最基本的因素之一。早期的血流动力学优化是脑复苏和其他治疗措施的 前提[16]。随着对心脏骤停后综合征这一独特而复杂的病理生理过程研究的深入, 优化和干预的策略将会不断的进展。

    参考文献

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