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在所有人类死亡中,约1/4并非死于难治的致命性疾病、衰老或脑损坏。心、肺、脑复苏(CPCR)及其学科“复活学”或“复苏学”的研究重点在于急性“终末状态”(脉搏仍存在)和“临床死亡”(脉搏消失)的病理生理学及其可逆性方面。终末状态指因休克-创伤-脓毒症而迅速死亡者。临床死亡指延续心跳停止,即整个机体完全缺血,但存在复苏使脑机能恢复的机会。引起临床死亡的最常见伤害有:1)冠心病室颤;2)急性窒息,如气道完全阻塞或呼吸暂停;3)过量失血,如创伤。本文着重研讨临床死亡复苏的有关问题(再灌流及延续的后期治疗),旨在预防或减轻继发的再灌流后紊乱——复苏后病或复苏后综合征。
About a quarter of all human deaths do not die of refractory, fatal diseases, aging or brain damage. The focus of CPCR and its research on “resurrection” or “resuscitation” focuses on the pathophysiology of acute “terminal states” (pulse persistence) and “clinical death” (pulse disappearance) and their Reversible aspects. The terminal state refers to the rapid death due to shock-trauma-sepsis. Clinical death refers to the continuation of cardiac arrest, which means that the entire body is completely ischemic, but there is a chance of recovery from brain function recovery. The most common causes of clinical death are: 1) ventricular fibrillation of coronary heart disease; 2) acute asphyxia, such as complete obstruction of the airways or apnea; 3) excessive blood loss such as trauma. This article focuses on issues related to clinical death recovery (reperfusion and subsequent post-treatment) and aims to prevent or reduce secondary post-reperfusion disorders - post-recovery syndrome or post-recovery syndrome.