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ACC：心搏骤停的治疗：牢记五点

2015-07-08 大鹏 译 医学论坛网

心搏骤停
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美国心脏病学会介入委员会近期完善了关于昏迷患者复苏过程中急诊侵入性心脏手术治疗框架，并发布了相关声明，下列为原文五项要点：1.应制定简便易行的治疗框架以便鉴别诊断心搏骤停后昏迷患者，此类患者适宜接受急诊冠脉造影;2.在患者转诊至导管室前，应邀请包括心脏介入专家在内的多学科专家组紧急会诊磋商，强烈推荐尽早启动低温治疗;3.介入委员会明确表示并强调，心搏

美国心脏病学会介入委员会近期完善了关于昏迷患者复苏过程中急诊侵入性心脏手术治疗框架，并发布了相关声明，下列为原文五项要点：

1.应制定简便易行的治疗框架以便鉴别诊断心搏骤停后昏迷患者，此类患者适宜接受急诊冠脉造影;

2.在患者转诊至导管室前，应邀请包括心脏介入专家在内的多学科专家组紧急会诊磋商，强烈推荐尽早启动低温治疗;

3.介入委员会明确表示并强调，心搏骤停患者的经皮冠状动脉介入治疗(PCI)预后不宜纳入公共报告中;

4.建立国家平台以随访心搏骤停患者PCI预后，并区分ST段抬高型病变与非ST段抬高型病变患者;

5.尚需开展有关非ST段抬高型心脏骤停患者早期PCI效果的随机对照试验。

原始出处：

Debabrata Mukherjee, MD, F.A.C.C.Cardiac Arrest Treatment Algorithm | Five Points to Remember.ACC.Jun 29, 2015.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=32694, encodeId=559a326941b, content=继续, beContent=null, objectType=article, channel=null, level=null, likeNumber=181, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Jul 14 07:16:00 CST 2015, time=2015-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325063, encodeId=4f0c1325063ed, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486998, encodeId=673d148699832, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31791, encodeId=e0db31e9189, content=还行, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01621631568, createdName=飞翔9899, createdTime=Thu Jul 09 10:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31557, encodeId=549d3155ea7, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed Jul 08 12:09:00 CST 2015, time=2015-07-08, status=1, ipAttribution=)]
    2015-07-14 保守主义

    继续

    0

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    2015-07-10 12498568m50暂无昵称

    #ACC#

    0

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    2015-07-10 shenxlcyp

    #心搏骤停#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=32694, encodeId=559a326941b, content=继续, beContent=null, objectType=article, channel=null, level=null, likeNumber=181, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Jul 14 07:16:00 CST 2015, time=2015-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325063, encodeId=4f0c1325063ed, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486998, encodeId=673d148699832, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31791, encodeId=e0db31e9189, content=还行, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01621631568, createdName=飞翔9899, createdTime=Thu Jul 09 10:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31557, encodeId=549d3155ea7, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed Jul 08 12:09:00 CST 2015, time=2015-07-08, status=1, ipAttribution=)]
    2015-07-09 飞翔9899

    还行

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=32694, encodeId=559a326941b, content=继续, beContent=null, objectType=article, channel=null, level=null, likeNumber=181, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d0f31631005, createdName=保守主义, createdTime=Tue Jul 14 07:16:00 CST 2015, time=2015-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325063, encodeId=4f0c1325063ed, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1486998, encodeId=673d148699832, content=<a href='/topic/show?id=8080510465b' target=_blank style='color:#2F92EE;'>#心搏骤停#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51046, encryptionId=8080510465b, topicName=心搏骤停)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6d578248121, createdName=shenxlcyp, createdTime=Fri Jul 10 00:12:00 CST 2015, time=2015-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31791, encodeId=e0db31e9189, content=还行, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01621631568, createdName=飞翔9899, createdTime=Thu Jul 09 10:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31557, encodeId=549d3155ea7, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed Jul 08 12:09:00 CST 2015, time=2015-07-08, status=1, ipAttribution=)]
    2015-07-08 huaxipanxing

    看看

    0

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