心脏骤停中的腹部器官损伤:系统文献综述
Bjørn Hoftun Farbu1,2,3, Jostein Hagemo3,4,5, Marius Rehn3,4,5
1Department of Anaesthesiology and Intensive Care Medicine, St. Olav's University Hospital, Trondheim, Norway.
PloS one
|August 1, 2025
概括
心肺复苏 (CPR) 的腹部损伤很少见,但心脏骤停后缺血性损伤很常见,并且与死亡率有关. 需要进一步的研究来了解心肺复苏在腹部损伤结果中的作用.
科学领域:
- 医学研究 医学研究
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 心肺复苏 (CPR) 和心脏骤停可能导致腹部器官损伤.
- 腹部损伤对心脏骤停结果的影响尚不清楚.
研究的目的:
- 系统地审查有关非创伤性心脏骤停后腹部损伤发生率的文献.
- 探索腹部损伤与患者结果之间的关联.
主要方法:
- 搜索了多个数据库 (MEDLINE,Embase,Cochrane,Scopus) 至2024年9月.
- 包括68项研究和140份病例报告,评估腹部不良事件和结果.
- 遵循PRISMA指南;提取数据并评估偏差风险.
主要成果:
- 创伤性伤害 (肝脏,) 发生在0-15%的CPR病例中,机械压力更高.
- 缺血性损伤不同:肝脏 (7-28%),中肠缺血 (0.7-2.5%),肠道 (82-100%).
- 缺血性腹部损伤与死亡率增加有关.
结论:
- 与心肺复苏相关的创伤性腹部损伤并不常见,但在病情恶化的患者中需要考虑.
- 缺血性腹部损伤的发生率很高,并且与心脏骤停后的死亡率有关.
- 腹部缺血症对不良结果的独立贡献需要进一步调查.
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