摘要
发生心脏骤停后,虽恢复自主循环但因长时间全身缺血导致脑和心脏等重要脏器出现功能障碍,被称为“心脏骤停后综合征”,严重影响患者预后。急性胃肠损伤是这类患者向多器官功能衰竭综合征进展的始发因素。本文将从心脏骤停后急性胃肠道损伤的病理生理机制、分级系统、评估方法及治疗四个方面展开论述。
The dysfunction of brain,heart and other important organs caused by prolonged systemic ischemia after cardiac arrest is called post-cardiac arrest syndrome,which seriously affects the prognosis of patients.Gastrointestinal tract is the earliest and most serious organ affected by PCAS.Acute gastrointestinal injury is the initiating factor for the progression of PCAS patients to multiple organ dysfunction syndrome,This artical will discuss the pathophysiological mechanism,grading system,evaluation method and treatment of AGI after CA.
作者
常泽龙
陈其然
蒋堂兴
边圆
徐峰
Chang Zelong;Chen Qiran;Jiang Tangzing;Bian Yuan;Xu Feng(Department of Emergency Medicine,Chest Pain Center,Shandong Provincial Clinical Research Center for Emergency and Critical Care Medicine,Qilu Hospital of Shandong University;Key Laboratory of Emergency and Critical Care Medicine of Shandong Province,Key Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong Province,Shandong Provincial Engineering Laboratory for Emergency and Critical Care Medicine,Qilu Hospital of Shandong University;The Key Laboratory of Cardiovascular Remodeling and Function Research,Chinese Ministry of Education,Chinese Ministry of Health and Chinese Academy of Medical Sciences,The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine,Qilu Hospital of Shandong University,Jinan,China.)
关键词
心脏骤停
心脏骤停后综合征
急性胃肠损伤
分级系统
Cardiac arrest
Post-cardiac arrest syndrome
Acute gastrointestinal injury
Hierarchy system
