瀕死呼吸

濒死呼吸或濒死喘息（英語：Agonal respiration）是一种异常呼吸和腦幹反射，其特点是病人呼吸困难且伴有奇怪的发声和肌阵挛（英语：Myoclonus）^{:164, 166}。出現瀕死呼吸的原因可能是脑缺血（英语：Brain ischemia）以及极度缺氧（人體组织供氧不足）^[1] 。濒死呼吸是一种非常嚴重的医学症状，病人需要立即就医，因为瀕死呼吸通常会发展成完全的呼吸中止并可能最終死亡。濒死呼吸的持续时间可以短到两次正常的呼吸間隔，也可以持续几个小时^[2]。

濒死呼吸常见于心源性休克或心搏停止的病人，濒死呼吸可能在停止心跳后持续数分钟^[1]^[2]^[3]。对于心脏骤停的无反应、无脉搏的病人，濒死呼吸不是有效的呼吸。在医院外心脏骤停的患者中，有40%出现過濒死呼吸^[4]。

参考文献[编辑]

^ ^1.0 ^1.1 Islam, Sumaiya A.; Lussier, Alexandre A.; Kobor, Michael S. Epigenetic analysis of human postmortem brain tissue. Handbook of Clinical Neurology 150. Elsevier. 2018: 237–261. ISBN 978-0-444-63639-3. doi:10.1016/b978-0-444-63639-3.00017-7 （英语）.
^ ^2.0 ^2.1 Perkin, R M. The agony of agonal respiration: is the last gasp necessary?. Journal of Medical Ethics. 2002-06-01, 28 (3): 164–169. PMC 1733591 . PMID 12042401. doi:10.1136/jme.28.3.164.
^ Ewy, Gordon A. Cardiocerebral Resuscitation, Defibrillation, and Cardioversion. Cardiac Intensive Care. Elsevier. 2010: 652–671. ISBN 978-1-4160-3773-6. doi:10.1016/b978-1-4160-3773-6.10052-7 （英语）.
^ Clark, J. J.; Larsen, M. P.; Culley, L. L.; Graves, J. R.; Eisenberg, M. S. Incidence of agonal respirations in sudden cardiac arrest. Annals of Emergency Medicine. 1992-12, 21 (12): 1464–1467 [2021-12-10]. ISSN 0196-0644. PMID 1443844. doi:10.1016/s0196-0644(05)80062-9. （原始内容存档于2021-12-10）.

外部链接[编辑]

Incidence of Agonal Respirations in Sudden Cardiac Arrest. EMD Program. 2003-08-30 [2012-06-12]. （原始内容存档于2005-02-10）.
Bång, Angela; Herlitz, Johan; Martinell, Sven. Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases. Resuscitation. 2003-01, 56 (1): 25–34 [2021-12-10]. ISSN 0300-9572. PMID 12505735. doi:10.1016/s0300-9572(02)00278-2. （原始内容存档于2021-12-10）.
Hazinski, Mary Fran (编). BLS for healthcare providers. New. Dallas, Tex.: American Heart Association. 2011. ISBN 978-1616690397.

[:0-1] 1.0 ^1.1 Islam, Sumaiya A.; Lussier, Alexandre A.; Kobor, Michael S. Epigenetic analysis of human postmortem brain tissue. Handbook of Clinical Neurology 150. Elsevier. 2018: 237–261. ISBN 978-0-444-63639-3. doi:10.1016/b978-0-444-63639-3.00017-7 （英语）.

[AgonalAgony-2] 2.0 ^2.1 Perkin, R M. The agony of agonal respiration: is the last gasp necessary?. Journal of Medical Ethics. 2002-06-01, 28 (3): 164–169. PMC 1733591 . PMID 12042401. doi:10.1136/jme.28.3.164.

[3] Ewy, Gordon A. Cardiocerebral Resuscitation, Defibrillation, and Cardioversion. Cardiac Intensive Care. Elsevier. 2010: 652–671. ISBN 978-1-4160-3773-6. doi:10.1016/b978-1-4160-3773-6.10052-7 （英语）.

[4] Clark, J. J.; Larsen, M. P.; Culley, L. L.; Graves, J. R.; Eisenberg, M. S. Incidence of agonal respirations in sudden cardiac arrest. Annals of Emergency Medicine. 1992-12, 21 (12): 1464–1467 [2021-12-10]. ISSN 0196-0644. PMID 1443844. doi:10.1016/s0196-0644(05)80062-9. （原始内容存档于2021-12-10）.

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