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心肺脑复苏近年来取得了较大进展。心脏骤停和自主心律停止5分钟以上复苏成功的病例屡有报道(1—6)。我们近来遇到一例心脏骤停经抢救86分钟,心肺复苏成功;4小时22分脑复苏成功。其自主心律停止时间虽长,但脑复苏较快,在国内尚属少见病例,故报道如下。病例摘要患者(病案号86—7394)女、25岁,农民,因间断腰痛、尿频、尿痛三年,近四个月来加重,伴寒战高热40.6℃于1986年12月26日印象为肾盂肾炎入院。查体:体温39.5℃,脉搏100次/分,血压130/80mmHg。全身皮肤粘膜未见出血点。心界正常,心率100次/分,无杂音,律齐。两肺呼吸音正常。腹部触诊:子宫,其底部位于脐与剑突之间,胎心正常,肝脾不大,双腰三角上部压痛明显。下肢无水肿。
Cardiopulmonary resuscitation made great progress in recent years. Cardiac arrest and autonomic arrhythmia stopped more than 5 minutes recovery success stories have been reported (1-6). We recently encountered a cardiac arrest after rescue for 86 minutes, cardiopulmonary resuscitation success; 4 hours and 22 minutes brain recovery success. Although its long-term autonomic cardiac arrest, but rapid brain recovery, is still rare in China, it is reported as follows. Case summary Patients (case number 86-7394) Female, 25 years old, farmer, due to intermittent low back pain, frequent urination, dysuria three years, nearly four months to aggravate, with chills high fever 40.6 ℃ December 26, 1986 Impression of renal pelvis Nephritis admission. Physical examination: body temperature 39.5 ℃, pulse 100 beats / min, blood pressure 130 / 80mmHg. Body skin and mucous membrane no bleeding point. Heart normal, heart rate 100 beats / min, no noise, law Qi. Breath sounds normal both lungs. Abdominal palpation: the uterus, the bottom of the umbilical and xiphoid between the normal fetal heart rate, liver and spleen is not big, double upper abdominal tenderness was obvious. Lower extremity without edema.