心臓発作 の 後 の 小児 治療: アメリカ 心臓 協会 の 科学 的 な 声明
Circulation
|June 28, 2019
まとめ
心停止後の蘇生が成功すると 心停止後症候群が発生します 心停止後の小児治療は,脳損傷,心臓機能不全,全身反応の管理を目的として,生存と神経学的結果を改善します.
科学分野:
- 心臓病科
- 神経学
- クリティカル ケア 医療
背景:
- 心停止後症候群は循環が回復した後の複雑な状態です.
- 主な成分には脳損傷,心筋機能障害,全身性缺血/再注血が含まれます.
- 病理生理学的原因が持続するのもこの症候群に寄与する.
研究 の 目的:
- 心臓発作後の小児のケアについて 意見の一致を図る
- 流行病学,病理生理学,管理,予測に関する現在の証拠を要約する.
- 子供における心停止後症候群の予期,診断,治療をガイドする.
主な方法:
- 小児科と大人の専門医が参加したコンセンサスプロセスです.
- 小児と成人における 心臓発作や重症に関する 過去20年の論文の分析です
- 心臓発作後のケアに関する勧告を立てるための証拠の統合
主要な成果:
- 心停止後症候群には,脳損傷,心筋機能障害,全身性缺血/再注血,および持続的な病理生理学が含まれます.
- 効果的な小児心停止後のケアには これらの多面的な要素を扱う必要があります
- 治療の成果を向上させるための特定の要素を 支持する証拠があります
結論:
- 心停止後の小児治療は,生存と神経学的結果の改善に不可欠です.
- 综合症の構成要素に対処する包括的なアプローチが必要である.
- この声明は,心臓発作後の小児ケアに関する 根拠に基づいたコンセンサスを提供しています.
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