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心肺复苏期间高糖血症的发生率高、程度重,其对机体的危害尚未引起临床医师的重视。心肺复苏时,往往注重急救操作与复苏药物的应用,忽视了输注液体的性质,常采用含糖液,使血糖明显增高,加剧了葡萄糖的无氧酵解,导致严重酸中毒,使重要脏器功能损害加重,尤对高代谢率的脑组织损害最为显著,给脑复苏带来困难,严重影响了复苏成功率。建议心肺复苏期间宜用无糖液或低糖液,脑复苏初期也不宜用高糖液。
The incidence of hyperglycemia during cardiopulmonary resuscitation is high and the degree of its harm to the body has not attracted the attention of clinicians. Cardiopulmonary resuscitation, often pay attention to the application of emergency treatment and recovery of drugs, ignoring the nature of the infusion of liquid, often using sugar solution, so that blood glucose was significantly increased, exacerbated by glucose anaerobic glycolysis, leading to severe acidosis, so important dirty Functional impairment, especially for high metabolic rate of brain tissue damage is the most significant, causing difficulties in cerebral resuscitation, seriously affecting the success rate of recovery. Recommended during cardiopulmonary resuscitation should be no sugar solution or low sugar solution, early cerebral recovery should not use high sugar solution.