心搏骤停后综合征患者神经功能预后评估研究进展

doi:10.11817/j.issn.1673-9248.2022.03.011

心搏骤停后，缺血缺氧性脑病是导致患者死亡的主要原因，心肺复苏术已大大降低了院外心搏骤停患者的病死率，然而神经功能预后良好的患者仍为少数。如何对心搏骤停后综合征患者的神经功能预后作出准确的判断，依旧是临床上面临的一大难题，本文将通过临床体格检查、血清生物标志物、脑电图、脑氧监测、神经系统影像学、经颅多普勒超声等临床常用的评估方法，对心搏骤停后综合征患者神经功能预后评估进展进行综述。

关键词: 心肺复苏, 心搏骤停后综合征, 预后, 评估

Ischemic anoxic encephalopathy is the main cause of death after cardiac arrest. Cardiopulmonary resuscitation has significantly reduced mortality in patients with out-of-hospital cardiac arrest, albeit only a small part of patients with favorable neurological outcomes. It’s still a difficult clinical problem to predict the neurological outcome of patients with post-cardiac arrest syndrome after cardiopulmonary resuscitation. In this article, we reviews the advance in predicting neurological outcome of patients with post-cardiac arrest syndrome after cardiopulmonary resuscitation by clinical physical examination, serum biomarkers, electroencephalogram, cerebral oxygen monitoring, neurological imaging, transcranial Doppler ultrasound and other common assessment methods.

Key words: Cardiopulmonary resuscitation, Post-cardiac arrest syndrome, Outcome, Assessment

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Advance in predicting neurological outcome of patients with post-cardiac arrest syndrome

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