医学心肺复苏后亚低温治疗.pdf

心肺复苏后亚低温治疗 心肺复苏后亚低温治疗 汤展宏 汤展宏 广西医科大学第一附属医院重症医学科 广西医科大学第一附属医院重症医学科 � Should patients with restoration of spontaneous circulation afte � Should patients with restoration of spontaneous circulation afte cardiac arrest be treated with therapeutic hypothermia? cardiac arrest be treated with therapeutic hypothermia? � Which person should not be cooled? � Which person should not be cooled? � When should the patient be cooled? � When should the patient be cooled? � How long should the patient be cooled? � How long should the patient be cooled? � Which is the best temperature for hypothermia? � Which is the best temperature for hypothermia? � Should local or whole body cooled be better? � Should local or whole body cooled be better? � What is the best cooling method? � What is the best cooling method? � How to maintain the target temperature? � How to maintain the target temperature? � When and how to rewarming? � When and how to rewarming? � Complication and monitor � Complication and monitor Current Situation of Cardiac Arrest and CPR Current Situation of Cardiac Arrest and CPR CCuurrrreenntt SSiittuuaattiioonn ooff CCaarrddiiaacc AArrrreesstt aanndd CCPPRR Current Situation of Cardiac Arrest and CPR Current Situation of Cardiac Arrest and CPR CCuurrrreenntt SSiittuuaattiioonn ooff CCaarrddiiaacc AArrrreesstt aanndd CCPPRR � 发病率高 � 发病率高 2009 10 美国疾病预防控制中心数据显示，仅在 年的前 个月里，美国 * 2009 10 美国疾病预防控制中心数据显示，仅在 年的前 个月里，美国 * 就有新增的冠心病患者785000人，每25秒就会发生一起因冠心病引发的心 就有新增的冠心病患者785000人，每25秒就会发生一起因冠心病引发的心 SCD SCD 100~117 /10 源性猝死（ ）