술중 심정지에 대한 심소생 치료
Cardiac Resuscitation in the Uperating Room
김공수,
소속 상세정보
김공수 ( )
전북대학교 의과대학 흉부외과학교실
KMID : 0364019760090010055
Abstract
This is a report og 8 cases cardiac arrest developed in the operating room at Jeonbug university Hospital from January 1973 to October, 1975.
Four patients of cardiac arnest developed during the elective operation, 3 during the emergency operation and the remaining one, bronchoscopy for foreign body removal under the general anesthesia.
Immediate closed chest cardiac massage was performed in the 7 patients and the remaining one underwent open chest cardiac massage.
Five of 7 patients with the closed chest cardiac massage regained conciousness and restored respiration, but 3 patients of these survived to be discharged.
Two patients who underwent pneumonectomy for multiple lung abscess and open drainage for liver abscess, were resuscitated but did survived. The Latter died from bleeding due to rupture of the liver that developed during the closed chest cardiac massage.
One patient who had open chest cardiac massage survived to be discharged without any sequele.
Unsuccessful resuscitation was observed in two patients, one had a complication of malignant hyperthermia with muscle rigity during gastrectomy for ulcer perforation and another had not firm support on the back during massage.
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