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麻醉中 發生한 心臟停止 依한 腦損傷 回復의 1例

The recovery of brain damage caused by cardiac arrest during anesthesia

대한마취과학회지 1970년 3권 1호 p.87 ~ 95
이상천, 박숙자, 정운혁,
소속 상세정보
이상천 ( Lee Sang-Con ) - 가톨릭대학교 의과대학 마취과학교실
박숙자 ( Park Suk-Ja ) - 가톨릭대학교 의과대학 마취과학교실
정운혁 ( Chung Woon Hyok ) - 가톨릭대학교 의과대학 마취과학교실

Abstract


The recovery process of brain damage caused by an acute severe cerebral hypoxia has been reported in various literatures. And the possibility of complete recovery of such case was said to be good in younger age group than in adult´s group.
We experienced a case of cardiac arrest of a 12 year old girl during halothane anesthesia induction and the cardiac and pulmonary resuscitation was suceeded promptly. But the hypotensive period pasted for ´few minutes before the diagnosis was made.
The condition of the patient after the resuscitation was good except that her unconsciousness state persisted unusually. The proposed appendectomy performed uneventfully and the anesthesia recovery of the patient was carefully observed in our I. C. U
The uncoscious state lasted for 2 clays with agitated movements of legs, EEG showed abnormal, irregular patterns but showed no signs of damage of gobus pallidum and putamen. During the first month, the order of recovery of cerebral function was comatous state, swallowing, eating, and urination. The cerebellar dysunction was prominent. Then recovery of amnesia and defection followed. Speech and gate started to regain in the 26 and 85 post-operative day respectively. Writing function started recover quickly with the recovery of speech function, which occurred in 4 to 6 post-operative months.
Recovery of intelligence was slowest and gradually reached to the intelligent level of 11 year old child in one year.
It was found the primitive function recovered first and the highly cultivated function recovered last.

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