大剂量肾上腺素复苏的临床初步观察(附4例报告)

被引：37

作者：

罗南辉

侯晓平

邹风泉

黄献章

机构：

[1] 空军总医院急诊科

来源：

中国急救医学 | 1991年 / 02期

关键词：

肾上腺素; 静注; 常规剂量; 病人; 肾上腺能α-受体兴奋药; 大剂量; 心跳骤停; 心脏骤停; 脑复苏; 胸外心脏按压; 心脏复苏;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

三名脑出血和一名肺心病病人入院后呼吸心跳骤停。我们在用常规剂量肾上腺素复苏失败后采用2mg→4mg→8mg 剂量递增静注,使三名病人恢复了自发性血循环。作者认为当前推荐用于复苏的肾上腺素剂量确实偏小,成人复苏时的初始剂量以2mg 为宜,并可在复苏的更早时间应用大剂量肾上腺素。

引用

页码：11 / 14

页数：4

共 8 条

[1]

Comparative effects of methoxamine versus epinephrine on regional cerebral blood flow during CPR. Brown CG,et al. Annals of Emergency Medicine . 1987

[2]

High-dose epinephrine and coronary perfusionpresusre during cardiac arrest in human beings. Paradis NA,et al. Annals of Emergency Medicine . 1989

[3]

Emergency Medicine. Sanders AB. The Journal of The American Medical Association . 1989

[4]

Resuscitation from cardiac arrest using high-dose epinephrine(Letter). Sherman BW,Rutherford WF. The Journal of The American Medical Association . 1989

[5]

The effects of graded doses of epinephrine on regional myocardial blood flow during cardiopulmonary resuscitation in swine. Brown CG,et al. Circulation . 1987

[6]

Successful resuscitation from cardiac arrest using high-dose epinephrine therapy. Koscove EM,Paradis NA. The Journal of The American Medical Association . 1988

[7]

Myocardial oxygen delivery/consumption during cardiopulmonary resuscitation:A comparison of epinephrine and phenylephrine. Brown CG,et al. Annals of Emergency Medicine . 1988

[8]

Randomized study of epinephrine versus methoxamine in prehospital ventricular fibrillation. Olson DW,et al. Annals of Emergency Medicine . 1987

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