Spontaneous defibrillation after cessation of resuscitation in out-of-hospital cardiac arrest:: A case of Lazarus phenomenon

被引：19

作者：

Kamarainen, Antti ^{[1
,2
]}

Virkkunen, Ilkka ^{[3
]}

Holopainen, Leevi ^{[4
]}

Erkkila, Elja-Pekka ^{[4
]}

Yli-Hankala, Arvi ^{[1
,3
]}

Tenhunen, Jyrki ^{[2
]}

机构：

[1] Univ Tampere, Sch Med, FIN-33101 Tampere, Finland

[2] Tampere Univ Hosp, Dept Intens Care Med, Crit Care Med Res Grp, Tampere, Finland

[3] Tampere Univ Hosp, Dept Surg & Anaesthesia, Tampere, Finland

[4] Tampere City Emergency Med Serv, Tampere, Finland

来源：

RESUSCITATION | 2007年 / 75卷 / 03期

关键词：

cardiac arrest; defibrillation; out-of-hospital CPR; outcome; return of spontaneous circulation; ventricular fibrillation;

D O I：

10.1016/j.resuscitation.2007.05.021

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This report describes a case of out-of-hospital cardiac arrest with spontaneous defibrillation and subsequent return of circulation after cessation of resuscitative efforts. A 47-year-old man was found in cardiac arrest and resuscitation was initiated. As no response was achieved, the efforts were withdrawn and final registered cardiac rhythm was ventricular fibrillation. Fifteen minutes later the patient was found to be normotensive and breathing spontaneously. The patient made a poor neurological recovery and died 3 months after the arrest. The authors are unable to give an explanation to the event, but suspect the effect of adrenaline combined with mild hypothermia to have contributed to the self-defibrillation of the myocardium. (C) 2007 Elsevier Ireland Ltd. AR rights reserved.

引用

页码：543 / 546

页数：4

共 42 条

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