儿童心脏骤停的预后及影响因素

儿童心脏骤停是临床上最危急的情况之一,对生命造成严重威胁.随着心肺复苏及高级生命支持技术的进步,儿童心脏骤停的存活率较以前升高,但很多存活者遗留神经系统后遗症.儿童院外心脏骤停与院内心脏骤停的疾病原因不同,其预后和影响因素也不尽相同.儿童心脏骤停死亡危险因素有癌症、肝功能不全、急性肾功能衰竭和脓毒症/全身炎症反应综合征等,心肺复苏作为心脏骤停的主要急救手段,是影响心脏骤停儿童存活率的主要因素之一.

Risk factors and prognosis of cardiac arrest in children

Cardiac arrest in children is one of the most critical clinical situations, posing a serious threat to life. With the progress of cardiopulmonary resuscitation and the advanced life support technology, children＇s cardiac arrest survival rate is higher than before ,but many of the survivors suffer from neurological sequelae. Since the causes of out-hospital cardiac arrest and in-hospital cardiac arrest are different, their prog- nosis and influence factors are also different. Death risk factors for cardiac arrest in children are cancer, hepat- ic insufficiency, acute renal failure, sepsis, systemic inflammatory response syndrome, etc. Cardiopulmonary resuscitation,as the main emergency treatment of cardiac arrest,is also one of the main factors affecting sur- vival of cardiac arrest child.