雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Patient with Out-hospital CPA due to AMI Achieved Complete Recovery due to PCI during PCPS Support and Comcomitant Brain Hypothermia after Cardiopulmonary Resuscitation(CPR) for 1 Hour Ritsuko Nakano 1 , Yoshifumi Nakahara 1 , Hiroyuki Kawahito 1 , Akiyoshi Matsumuro 1 , Motoo Tanaka 1 , Takashi Nakamura 1 Keyword: 急性心筋梗塞 , 院外心停止 , 脳低体温療法 , acute myocardial infarction , out-hospital cardiopulmonary arrest , brain hypothermia pp.317-321
Published Date 2005/3/1
DOI https://doi.org/10.11477/mf.1404100042
  • Abstract
  • Look Inside
  • Reference

Summary

 On March 10, 2003, a 47-year-old man requested an ambulance at 5:58 a.m. for chest discomfort starting at 5:30. When the emergency team arrived at 6:05, ventricular fibrillation(Vf) was noted, and electric defibrillation was carried out 3 times, but no improvement was achieved. The patient was brought to our center at 6:23. On arrival, electric defibrillation(360J) for Vf was also carried out, but there was no response, and heart massage was continued. The sixth electric defibrillation resulted in sinus rhythm at 7:10. An electrocardiogram(ECG) showed ST elevation in leads I, aVL, V2 to V6. During PCPS for shock, thrombus aspiration was performed using a ThrombusterTM catheter, and a stent was implanted to treat complete occlusion(#6), resulting in TIMI 3. On admission to the CCU, GCS 3, mydriasis, and decorticate rigidity of the limbs were observed. Brain hypothermia was concomitantly performed for 5 days, and PCPS was discontinued 2 days after admission. Extubation was performed 6 days after admission. After awaking, disorientation occured, but this improved 11 days after admission. The patient was discharged without neurological disability. The course was good, suggesting the usefulness of hypothermia after CPR.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有