心肺复苏后肌阵挛(附2例临床报告)

目的:探讨心肺复苏后肌阵挛的分类、诊断、治疗原则及预后。方法:报道两例心肺复苏后肌阵挛病例并综合已有的文献研究。结果:两例分别明确诊断为急性症状性肌阵挛和慢性症状性肌阵挛,并根据其不同的病理生理机制,给予相应的治疗,两例均存活且临床症状得到控制。结论:心肺复苏后肌阵挛应根据不同的分类及病理生理机制,采取有针对性的措施控制症状,并尽快改善中枢神经系统缺血缺氧损伤,合并癫痫与否对于治疗及预后有参考意义。

Myoclonus after cardiopuimonary resuscitation (with two cases report)

Objective: To discuss the classification, diagnosis, treatment and prognosis of myoclonus after cardiopulmonary resuscitation. Methods: We reported two cases of myoclonus after cardiopulmonary resuscitation, and reviewed existed literature researches. Results: The two cases were diagnosed definitely, one was acute secondary myoclonus and the other was chronic secondary myoclonus. According to different pathophysiological mechanism, we gave them different treatments, and the two patients were existed with myoclonus ontrolled. Conclusions: The principle for the myoclonus after cardiopulmonary resuscitation should be symptom control with corresponding measures and improvement anoxic ische mic damages of CNS quickly. And myoclonus with epilepsy or not was important to prognosis.