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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 202 -205. doi: 10.11817/j.issn.1673-9248.2022.03.011

综述

心搏骤停后综合征患者神经功能预后评估研究进展
吴仔弦1, 杨思敏1, 周保纯1,()   
  1. 1. 苏州大学附属第二医院急重症医学科
  • 收稿日期:2021-12-20 出版日期:2022-06-01
  • 通信作者: 周保纯
  • 基金资助:
    苏州市科技发展计划项目(SYSD2018105); 苏大附二院科研预研基金项目(SDFEYBS2004); 苏州市医学重点学科(Szxk201504); 苏大附二院学科建设托举工程(XKTJ-XK202008)

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

Zixian Wu1, Simin Yang1, Baochun Zhou1,()   

  1. 1. Department of Emergency and Critical Care Medicine, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China
  • Received:2021-12-20 Published:2022-06-01
  • Corresponding author: Baochun Zhou
引用本文:

吴仔弦, 杨思敏, 周保纯. 心搏骤停后综合征患者神经功能预后评估研究进展[J/OL]. 中华脑血管病杂志(电子版), 2022, 16(03): 202-205.

Zixian Wu, Simin Yang, Baochun Zhou. Advance in predicting neurological outcome of patients with post-cardiac arrest syndrome[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(03): 202-205.

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。

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.

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