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心肺复苏(CPR)是指患者心搏呼吸骤停时,以迅速有效的人工呼吸与心脏按压,重新建立呼吸循环的复苏过程,是急救体系中抢救心搏呼吸骤停最有效的方法。按医学急救规范,心肺复苏30min 内无成功者,一般放弃抢救,复苏1h 后心跳呼吸恢复者实属罕见。我们遇到的1例重度颅脑损伤致心跳呼吸骤停后复苏1h 成功。患者,女,27岁。因“车祸致颅脑损伤10 min”收入院。患者既往无特殊病史。诊断:(1)特重度开放型颅脑损伤。(2)心跳呼吸骤停。入抢救室时,神志丧失,瞳孔散大,呼吸停止,大动脉搏动消失。立即用纱布保护手指,清除患者口鼻中分泌物及
Cardiopulmonary resuscitation (CPR) is the most effective way to rescue cardiac arrest and respiratory arrest in the first aid system when the patient is resuscitated by rapid and effective artificial respiration and cardiac pressure during cardiac arrest and resuscitation. According to the medical emergency specification, no success within 30min of CPR, generally give up the rescue, resuscitation after 1h heart rate resuscitation is rare. We encountered 1 case of severe traumatic brain injury caused by resuscitation of cardiac arrest after 1h success. Patient, female, 27 years old. Because of “car accident caused brain injury 10 min ” income hospital. No previous history of patients with special medical history. Diagnosis: (1) Extra-severe open brain injury. (2) sudden cardiac arrest. Into the emergency room, the loss of consciousness, mydriasis, respiratory arrest, aortic pulse disappeared. Protect your fingers immediately with gauze to remove secretions from your mouth and nose