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題名:低溫治療於心跳停止復甦後病人之應用與照護
書刊名:榮總護理
作者:吳承學劉慧玲
作者(外文):Wu, Cheng-hsuehLiou, Huey-ling
出版日期:2011
卷期:28:4
頁次:頁334-340
主題關鍵詞:低溫治療心跳停止HypothermiaCardiac arrest
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:142
突然心跳停止經急救後而存活者因腦部缺血損傷可能導致較差的神經功能及死亡。心肺復甦後能自動回復血液循環所產生的損傷被稱之為再灌流的缺血性損傷。再灌流的缺血性損傷與生化反應有關,此生化反應可以藉由誘導低溫而被終止。臨床處置準則目前也證實低溫(32-34℃)對心跳停止復甦後的治療是可以改善神經功能的預後。相關的研究也顯示低溫治療是安全的、少有合併症及可以增加病人的存活率,因此美國心臟學會建議低溫治療使用於突發性心跳停止經急救後回復自發性心跳的病人。於本文就低溫治療的生理、作用機轉、臨床實證研究、低溫治療的方法、合併症和治療分期之照護做介紹。
Sudden cardiac arrest survivors suffer from ischaemic brain injury that may lead to poor neurological outcome and death. The injury during cardiopulmonary resuscitation (CPR) and successfully restored spontaneous circulation (ROSC) is described as a global ischaemia-reperfusion injury. The reperfusion injury that occurs is associated with damaging biochemical reactions, which are suppressed by lowering body temperature (induced hypothermia). Guidelines now endorse induced hypothermia (32-34℃) as a post-resuscitation treatment to improve neurological outcomes following cardiac arrest. Relevant studies have proved hypothermia (32-34℃) to be safe, with few complications and improved survival rate, as recommended by the American Heart Association. In this article, physiology and mechanism of hypothermia, evidence-based researches, intervention and complication of hypothermia, and care of hypothermia in different periods are described.
期刊論文
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9.Kimura, A.、Sakurada, S.、Ohkuni, H.、Todome, Y.、Kurata, K.(2002)。Moderate hypothermia delays proinflammatory cytokine production of human peripheral blood mononuclear cells。Critical Care Medicine,30,1499-1502。  new window
10.Kochanek, P. M.、Safar, P. J.(2003)。Therapeutic hypothermia for severe traumatic brain injury。Journal of the American Medical Association,289,3007-3009。  new window
11.Kronick, S.、Arno, L.、Zaritsky, R. M.、Terry, L.、Vanden, H.、Steven, L.(2010)。Part 9: Post-cardiac arrest care: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care。Circulation,122,S768-S786。  new window
12.Polderman, K. H.(2009)。Mechanisms of action, physiologic effects, and complications of hypothermia。Critical Care Medicine,37(Suppl),S186-S202。  new window
13.Vincent, J. L.、Rossaint, R.、Riou, B.、Ozier, Y.、Zideman, D.、Spahn, D. R.(2006)。Recommendations on the use of recombinant activated factor VII as an adjunctive treat treatment for massive bleeding--A European perspective。Critical Care,10,R120。  new window
 
 
 
 
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