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Open Access Article

International Journal of Clinical Research. 2024; 8: (1) ; 17-21 ; DOI: 10.12208/j.ijcr.20240005.

Timing of emergency coronary intervention in patients with cardiac arrest causedby acute coronary syndrome and hemodynamic management
心脏骤停复苏后急诊冠脉介入时机及血流动力学管理

作者: 裴崇哲 *

天津医科大学总医院心血管内科 天津

*通讯作者: 裴崇哲,单位:天津医科大学总医院心血管内科 天津;

发布时间: 2024-01-20 总浏览量: 251

摘要

心脏骤停是一种严重的医疗紧急情况,表现为心脏机械舒缩功能的突然停止,如果得不到及时干预,患者短时间内就会死亡。心源性因素是心脏骤停的主要原因。其中,急性冠脉综合征是最常见的心源性因素。针对这一状况,迅速而有效的诊疗措施至关重要,心脏骤停中心的建设是其坚实基础。何时开通心脏骤停复苏后患者的罪犯血管,以及如何维持其血流动力学稳定是这类患者管理中最为关键的步骤,对患者的生存率和预后产生重要影响。本文,我们对急性冠脉综合征导致的心脏骤停患者行急诊冠脉介入的时机展开分析汇总,并总结心脏骤停患者的血流动力学管理要点,以便能够为临床实践提供更为可靠的参考依据。

关键词: 心脏骤停;心肺复苏;急诊冠脉介入;血流动力学管理

Abstract

Cardiac arrest is a serious medical emergency characterized by a sudden cessation of the heart's mechanical diastolic and systolic function, and can lead to death in a short time without prompt emergency intervention. Cardiogenic factors are the primary causes of cardiac arrest, among which acute coronary syndrome is the most common one. For this situation, rapid and effective diagnostic and therapeutic measures are crucial, and the establishment of cardiac arrest centers serves as a solid foundation for such measures. Determining the timing of revascularization of the culprit vessel and maintaining the hemodynamic stability are the most critical steps in the management of these patients. In this article, we analyze the timing of emergency coronary intervention in patients with cardiac arrest caused by acute coronary syndrome and summarize the main points of hemodynamic management, so as to provide a more reliable reference for clinical practice.

Key words: Cardiac arrest; Cardiopulmonary resuscitation; Emergency coronary intervention; Hemodynamic management

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引用本文

裴崇哲, 心脏骤停复苏后急诊冠脉介入时机及血流动力学管理[J]. 国际临床研究杂志, 2024; 8: (1) : 17-21.