Transcription of 心肺停止蘇生後低体温療法 - JSEPTIC
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心肺停止蘇生後低体温療法 - JSEPTIC
1 ICU Circulation. 2013;127:244-250. 2 Ca2+ MichelvHolzer, Target Temperature Manegement for Comatose Survivors of Cardiac Arrest. NEJM Septmber 23,2010:1256-1264 3 2010 AHA ( VF[Class I, LOE B]. [ClassIIb, LOE B]) (12-24 32 C-34 C ) . Mary Ann Peberdy, et al. Post-Cardiac Arrest Care:Circulation. 2010;122:S768-S786 4 -1996 3 2001 1 - ,RCT - - 275 - (32-34 C) . - 6 5 6 ( VF/VT) (GCS<8) MichelvHolzer, Target Temperature Manegement for Comatose Survivors of Cardiac Arrest.
2 何故低体温療法が必要か •再灌流障害を防ぐ •脳代謝を抑制し酸素消費量を減らす •脳内Ca2+ の恒常性を改善することにより
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