心脏骤停后综合症.pptxVIP

心脏骤停后综合征（PCAS）卫生部北京医院卫生部北京老年医学研究所张新超心脏骤停后综合症1/26

PRSPCAS心脏骤停→全身长时间完全性缺血CPR→ROSC→再灌注→更为复杂新病理生理过程，主要包含：心脏骤停后脑损害心脏骤停后心肌损害全身性缺血/再灌注损伤造成或促发心脏骤停、还未消除各种原有病症（或病因）心脏骤停后综合症2/26

PCASIntheearly1970s,DrVladimirNegovskynamedthisstate“postresuscitationdisease”.Thetermresuscitationisnowusedmorebroadlytoincludetreatmentofvariousshockstatesinwhichcirculationhasnotceased.Thetermpostresuscitationimpliesthattheactofresuscitationhasended.Negovskyhimselfstatedthatasecond,morecomplexphaseofresuscitationbeginswhenpatientsregainspontaneous