Resuscitation after cardiac arrest (CA) with a whole-body ischemia-reperfusion injury causes brain injury and multiple organ dysfunction (MODS). This study aimed to determine whether mild systemic hypothermia could decrease multiple organ dysfunctions after resuscitation from cardiac arrest.
The patients who had been resuscitated after cardiac arrest were reviewed. During the resuscitation they had been assigned to undergo therapeutic hypothermia (target temperature, 32°C to 34°C, measured in the rectum) over a period of 24 to 36 hours or to receive standard treatment with normothermia. Markers of different organ injury were evaluated for the first 72 hours after recovery of spontaneous circulation (ROSC).
At 72 hours after ROSC, 23 patients in the hypothermia group for whom data were available had favorable neurologic, myocardial, hepatic and pulmonic outcomes as compared with 26 patients in the normothermia group. The values of renal function were not significantly different between the two groups. However, blood coagulation function was badly injured in the hypothermia group.
In the patients who have been successfully resuscitated after cardiac arrest, therapeutic mild hypothermia can alleviate dysfunction after resuscitation from cardiac arrest.
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外文
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无
最新[2023]版:
大类|3 区医学
小类|4 区急救医学
第一作者:
第一作者机构:[1]Department of Emergency and Critical Care Medicine, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China
通讯作者:
通讯机构:[1]Department of Emergency and Critical Care Medicine, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China
推荐引用方式(GB/T 7714):
Yang Lin,Zhao Xu-Ming,Liu Li-Jun.Mild hypothermia in improving multiple organ dysfunction after cardiac arrest.[J].World journal of emergency medicine.2010,1(3):196-200.
APA:
Yang Lin,Zhao Xu-Ming&Liu Li-Jun.(2010).Mild hypothermia in improving multiple organ dysfunction after cardiac arrest..World journal of emergency medicine,1,(3)
MLA:
Yang Lin,et al."Mild hypothermia in improving multiple organ dysfunction after cardiac arrest.".World journal of emergency medicine 1..3(2010):196-200