【猝死相关疾病的临床状况及治疗】。

Atsushi Sawamura, Ken-ichi Katabami, Naoki Ishimori, Yasuei Singu, Naoki Nakayama
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摘要

北海道医学协会是由北海道的医生和医学研究人员组成的团体。其目的是为医学和改善医疗作出贡献。举办这次研讨会是为了向公民通报所谓的猝死情况。我们假设猝死的发生率随着代谢综合征的发生率的增加而增加。去年,大约有400名心肺骤停的病人被救护车送往我院。与过去十年相比,在我院接受治疗的CPA患者数量有所增加。鉴于上述情况,今年的主题是“猝死相关疾病的临床情况及治疗”。据报道,2015年,一名美国飞行员突然死亡,副驾驶被迫紧急降落。有趣的是,经常接受身体检查的飞行员有时也会突然死亡。许多疾病和病症与猝死有关,包括:急性心肌梗死、脉搏不规则、心功能不全、脑血管疾病、主动脉夹层和窒息。我们认为在急诊医学、心血管医学、心血管外科和神经外科等领域猝死的发生率很高。在本次研讨会上,我们于2015年10月在北海道大学医学研究生院的急诊医学、心血管医学、心血管外科和神经外科,介绍和解释了所谓猝死的情况以及猝死的治疗现状。我们希望这次研讨会能够帮助市民观众了解猝死的情况和治疗方法,也有助于预防猝死。
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[The clinical condition and treatment of diseases associated with sudden death].

The Hokkaido Medical Society is a group of doctors and medical researchers in Hokkaido. Its purpose is to contribute to medicine and to the improvement of medical treatment. This symposium was carried out in order to inform citizens about the condition known as sudden death. We hypothesize that the incidence of sudden death tends to increase in line with the incidence of metabolic syndrome. Approximately four hundred patients were transported to our hospital by ambulance in a state of cardiopulmonary arrest (CPA) last year. The number of CPA patients who are treated in our hospital has increased in comparison to the previous decade. The theme of this year is "The clinical condition and treatment of diseases associated with sudden death" in view of the above mentioned situation. In 2015, it was reported that sudden death occurred in an American pilot and that the co-pilot was forced to make an emergency landing. Interestingly, sudden death can ever sometimes occur in pilots who undergo regular physical examinations. Numerous diseases and conditions are associated with sudden death, including: acute myocardial infarction, irregular pulse, cardiac insufficiency, cerebrovascular disease, aortic dissection and choking. We are of the opinion that the frequency of sudden death is very high in the fields of emergency medicine, cardiovascular medicine, cardiovascular surgery and neurosurgery. In this symposium, we presented and explained the condition that is known as sudden death and the current state of treatment of sudden death in emergency medicine, cardiovascular medicine, cardiovascular surgery and neurosurgery departments of the Hokkaido University Graduate School of Medicine in October, 2015. We hope that the symposium will help the citizen audience to understand the condition and treatment of sudden death, and also to help prevent sudden death.

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