CAJ | 학술논문

[目的]探讨蛛网膜下腔出血（SAH）所致的心搏骤停的临床特点及预后。[方法]回顾分析2004～2012年18例 SAH 患者的临床资料。[结果]18例患者平均年龄28～61（44．9±7．5）岁，其中14例（77．8％）无心脏及其他疾病病史，10例发病前有头痛等先兆症状（55．6％）；体表心电图（ECG）示无脉性电活动（PEA）11例（53．8％），心脏静止7例（38．9％），室颤1例（5．6％）；CT 示3例合并脑室出血，1例合并颞叶出血；18例病人除2例放弃治疗外，1例存活（5．6％），7例为植物状态（38．9％％），8例死亡（44．4％），直接死亡原因为肺部感染2例，中枢性循环衰竭6例。[结论]SAH 导致的心搏骤停多发生于无心脏病史的中到老年患者，多表现为无脉性电活动、心脏静止，预后差。
[목적]탐토주망막하강출혈（SAH）소치적심박취정적림상특점급예후。[방법]회고분석2004～2012년18례 SAH 환자적림상자료。[결과]18례환자평균년령28～61（44．9±7．5）세，기중14례（77．8％）무심장급기타질병병사，10례발병전유두통등선조증상（55．6％）；체표심전도（ECG）시무맥성전활동（PEA）11례（53．8％），심장정지7례（38．9％），실전1례（5．6％）；CT 시3례합병뇌실출혈，1례합병섭협출혈；18례병인제2례방기치료외，1례존활（5．6％），7례위식물상태（38．9％％），8례사망（44．4％），직접사망원인위폐부감염2례，중추성순배쇠갈6례。[결론]SAH 도치적심박취정다발생우무심장병사적중도노년환자，다표현위무맥성전활동、심장정지，예후차。
[Objective]To explore the clinical characteristics and prognosis of patients with cardiac arrest (CA)caused by subarachnoid hemorrhage(SAH).[Methods]Clinical data of 18 patients with CA caused by SAH from 2004 and 2012 were analyzed retrospectively.[Results]The mean age of 18 patients was 44.9± 7.5 years(28~61 years).Among them,14 patients(77.8%)were lack of the history of heart disease or other diseases,and 10 patients(55.6%)had headache prior to cardiac arrest.Surface electrocardiogram(ECG)re-vealed 11 cases(53.8%)of pulseless electrical activity,7 cases(38.9%)of cardiac shock and 1 case(5.6%)of fibrillation ventricular.CT showed that 3 patients were complicated with cerebroventricular hemorrhage and 1 patient was complicated with temporal lobe hemorrhage.Of these 18 patients,2 patients abandoned the treat-ment,and 1 patient(5.6%)survived,and 7 patients(38.9%)were vegetative state,and 8 patients(44.4%) died.The direct death reasons were lung infection in 2 patients and central circulatory failure in 6 patients.[Conclusion]Cardiac arrest caused by SAH mainly occurs in middle to old patients without the history of heart disease.The major manifestations are pulseless electrical activity,cardiac shock and poor prognosis.