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脑复苏是抢救临床脑死亡的关键,从1979～1985年我们共抢救10例临床脑死亡病人。本组总结分析如下。 临床资料 本组10例均为呼吸、循环骤停,心脏复苏成功的病人。男6例,女4例。冠心病3例,心肌炎2例,电击伤2例,溺水,肺心病及麻醉意外各一例,心脏复苏后未出现自主呼吸6例。复苏后存活3小时至4日者9例。仅一例生活至今,现已四年。 治疗经过及结果 本组10例均进行了脑复苏的沧救措施,在心肺复苏的基础上,除保证呼吸道通畅,有效血循环,积极治疗原发病外,还需预防肺部感染,保持水、电解质平衡和防止急性肾功能衰竭等并发症的产生。其具体方法如下:
Brain resuscitation is the key to rescue clinical brain death, from 1979 to 1985, we rescued a total of 10 cases of clinical brain death patients. The group is summarized as follows. Clinical data of this group of 10 patients were breathing, arrest, cardiac resuscitation success of patients. 6 males and 4 females. 3 cases of coronary heart disease, 2 cases of myocarditis, 2 cases of electric shock, one case of drowning, cor pulmonale and anesthesia accidents, 6 cases of spontaneous respiration after cardiac resuscitation. 9 cases survived 3 to 4 days after resuscitation. Only one case of life so far, now four years. After treatment and results of this group of 10 cases were carried out in the recovery of brain Cang rescue measures, on the basis of CPR, in addition to ensuring airway patency, effective blood circulation, active treatment of the primary disease, the need to prevent lung infection, to maintain water, Electrolyte balance and prevent the occurrence of complications such as acute renal failure. The specific method is as follows: