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cdx-search-input--has-end-button"> <div id="simpleSearch" class="cdx-search-input__input-wrapper" data-search-loc="header-moved"> <div class="cdx-text-input cdx-text-input--has-start-icon"> <input class="cdx-text-input__input" type="search" name="search" placeholder="Търсене в Уикипедия" aria-label="Търсене в Уикипедия" autocapitalize="sentences" title="Претърсване на Уикипедия [f]" accesskey="f" id="searchInput" > <span class="cdx-text-input__icon cdx-text-input__start-icon"></span> </div> <input type="hidden" name="title" value="Специални:Търсене"> </div> <button class="cdx-button cdx-search-input__end-button">Търсене</button> </form> </div> </div> </div> <nav class="vector-user-links vector-user-links-wide" aria-label="Лични инструменти"> <div class="vector-user-links-main"> <div id="p-vector-user-menu-preferences" class="vector-menu mw-portlet emptyPortlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> </ul> </div> </div> <div id="p-vector-user-menu-userpage" class="vector-menu mw-portlet emptyPortlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> </ul> </div> </div> <nav class="vector-appearance-landmark" aria-label="Облик"> <div id="vector-appearance-dropdown" class="vector-dropdown " title="Change the appearance of the page's font size, width, and color" > <input type="checkbox" id="vector-appearance-dropdown-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-appearance-dropdown" class="vector-dropdown-checkbox " aria-label="Облик" > <label id="vector-appearance-dropdown-label" for="vector-appearance-dropdown-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-appearance mw-ui-icon-wikimedia-appearance"></span> <span class="vector-dropdown-label-text">Облик</span> </label> <div class="vector-dropdown-content"> <div id="vector-appearance-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <div id="p-vector-user-menu-notifications" class="vector-menu mw-portlet emptyPortlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> </ul> </div> </div> <div id="p-vector-user-menu-overflow" class="vector-menu mw-portlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="pt-sitesupport-2" class="user-links-collapsible-item mw-list-item user-links-collapsible-item"><a data-mw="interface" href="//donate.wikimedia.org/wiki/Special:FundraiserRedirector?utm_source=donate&utm_medium=sidebar&utm_campaign=C13_bg.wikipedia.org&uselang=bg" class=""><span>Направете дарение</span></a> </li> <li id="pt-createaccount-2" class="user-links-collapsible-item mw-list-item user-links-collapsible-item"><a data-mw="interface" href="/w/index.php?title=%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%A1%D1%8A%D0%B7%D0%B4%D0%B0%D0%B2%D0%B0%D0%BD%D0%B5_%D0%BD%D0%B0_%D1%81%D0%BC%D0%B5%D1%82%D0%BA%D0%B0&returnto=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0+%D1%81%D0%BC%D1%8A%D1%80%D1%82" title="Насърчаваме Ви да си създадете сметка и да влезете, въпреки че не е задължително." class=""><span>Създаване на сметка</span></a> </li> <li id="pt-login-2" class="user-links-collapsible-item mw-list-item user-links-collapsible-item"><a data-mw="interface" href="/w/index.php?title=%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%A0%D0%B5%D0%B3%D0%B8%D1%81%D1%82%D1%80%D0%B8%D1%80%D0%B0%D0%BD%D0%B5_%D0%B8%D0%BB%D0%B8_%D0%B2%D0%BB%D0%B8%D0%B7%D0%B0%D0%BD%D0%B5&returnto=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0+%D1%81%D0%BC%D1%8A%D1%80%D1%82" title="Препоръчваме Ви да влезете, въпреки, че не е задължително. [o]" accesskey="o" class=""><span>Влизане</span></a> </li> </ul> </div> </div> </div> <div id="vector-user-links-dropdown" class="vector-dropdown vector-user-menu vector-button-flush-right vector-user-menu-logged-out" title="Допълнителни опции" > <input type="checkbox" id="vector-user-links-dropdown-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-user-links-dropdown" class="vector-dropdown-checkbox " aria-label="Лични инструменти" > <label id="vector-user-links-dropdown-label" for="vector-user-links-dropdown-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-ellipsis mw-ui-icon-wikimedia-ellipsis"></span> <span class="vector-dropdown-label-text">Лични инструменти</span> </label> <div class="vector-dropdown-content"> <div id="p-personal" class="vector-menu mw-portlet mw-portlet-personal user-links-collapsible-item" title="Потребителско меню" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="pt-sitesupport" class="user-links-collapsible-item mw-list-item"><a href="//donate.wikimedia.org/wiki/Special:FundraiserRedirector?utm_source=donate&utm_medium=sidebar&utm_campaign=C13_bg.wikipedia.org&uselang=bg"><span>Направете дарение</span></a></li><li id="pt-createaccount" class="user-links-collapsible-item mw-list-item"><a href="/w/index.php?title=%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%A1%D1%8A%D0%B7%D0%B4%D0%B0%D0%B2%D0%B0%D0%BD%D0%B5_%D0%BD%D0%B0_%D1%81%D0%BC%D0%B5%D1%82%D0%BA%D0%B0&returnto=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0+%D1%81%D0%BC%D1%8A%D1%80%D1%82" title="Насърчаваме Ви да си създадете сметка и да влезете, въпреки че не е задължително."><span class="vector-icon mw-ui-icon-userAdd mw-ui-icon-wikimedia-userAdd"></span> <span>Създаване на сметка</span></a></li><li id="pt-login" class="user-links-collapsible-item mw-list-item"><a href="/w/index.php?title=%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%A0%D0%B5%D0%B3%D0%B8%D1%81%D1%82%D1%80%D0%B8%D1%80%D0%B0%D0%BD%D0%B5_%D0%B8%D0%BB%D0%B8_%D0%B2%D0%BB%D0%B8%D0%B7%D0%B0%D0%BD%D0%B5&returnto=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0+%D1%81%D0%BC%D1%8A%D1%80%D1%82" title="Препоръчваме Ви да влезете, въпреки, че не е задължително. [o]" accesskey="o"><span class="vector-icon mw-ui-icon-logIn mw-ui-icon-wikimedia-logIn"></span> <span>Влизане</span></a></li> </ul> </div> </div> <div id="p-user-menu-anon-editor" class="vector-menu mw-portlet mw-portlet-user-menu-anon-editor" > <div class="vector-menu-heading"> Страници за излезли от системата редактори <a href="/wiki/%D0%9F%D0%BE%D0%BC%D0%BE%D1%89:%D0%92%D1%8A%D0%B2%D0%B5%D0%B4%D0%B5%D0%BD%D0%B8%D0%B5" aria-label="Научете повече за редактирането"><span>научете повече</span></a> </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="pt-anoncontribs" class="mw-list-item"><a href="/wiki/%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%9C%D0%BE%D0%B8%D1%82%D0%B5_%D0%BF%D1%80%D0%B8%D0%BD%D0%BE%D1%81%D0%B8" title="Списък на промените, направени от този IP адрес [y]" accesskey="y"><span>Приноси</span></a></li><li id="pt-anontalk" class="mw-list-item"><a href="/wiki/%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%9C%D0%BE%D1%8F%D1%82%D0%B0_%D0%B1%D0%B5%D1%81%D0%B5%D0%B4%D0%B0" title="Дискусия относно редакциите от този адрес [n]" accesskey="n"><span>Беседа</span></a></li> </ul> </div> </div> </div> </div> </nav> </div> </header> </div> <div class="mw-page-container"> <div class="mw-page-container-inner"> <div class="vector-sitenotice-container"> <div id="siteNotice"></div> </div> <div class="vector-column-start"> <div class="vector-main-menu-container"> <div id="mw-navigation"> <nav id="mw-panel" class="vector-main-menu-landmark" aria-label="Сайт"> <div id="vector-main-menu-pinned-container" class="vector-pinned-container"> </div> </nav> </div> </div> <div class="vector-sticky-pinned-container"> <nav id="mw-panel-toc" aria-label="Съдържание" data-event-name="ui.sidebar-toc" class="mw-table-of-contents-container vector-toc-landmark"> <div id="vector-toc-pinned-container" class="vector-pinned-container"> <div id="vector-toc" class="vector-toc vector-pinnable-element"> <div class="vector-pinnable-header vector-toc-pinnable-header vector-pinnable-header-pinned" data-feature-name="toc-pinned" data-pinnable-element-id="vector-toc" > <h2 class="vector-pinnable-header-label">Съдържание</h2> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-toc.pin">преместване към страничната лента</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-toc.unpin">скриване</button> </div> <ul class="vector-toc-contents" id="mw-panel-toc-list"> <li id="toc-mw-content-text" class="vector-toc-list-item vector-toc-level-1"> <a href="#" class="vector-toc-link"> <div class="vector-toc-text">Начало</div> </a> </li> <li id="toc-Спешност" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Спешност"> <div class="vector-toc-text"> <span class="vector-toc-numb">1</span> <span>Спешност</span> </div> </a> <ul id="toc-Спешност-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Терапевтично_прекъсване_на_кръвообращението" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Терапевтично_прекъсване_на_кръвообращението"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Терапевтично прекъсване на кръвообращението</span> </div> </a> <ul id="toc-Терапевтично_прекъсване_на_кръвообращението-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Феномени" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Феномени"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Феномени</span> </div> </a> <ul id="toc-Феномени-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Причини_за_клинична_смърт" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Причини_за_клинична_смърт"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Причини за клинична смърт</span> </div> </a> <ul id="toc-Причини_за_клинична_смърт-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Първа_помощ" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Първа_помощ"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Първа помощ</span> </div> </a> <button aria-controls="toc-Първа_помощ-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Превключване на подраздел Първа помощ</span> </button> <ul id="toc-Първа_помощ-sublist" class="vector-toc-list"> <li id="toc-При_установяване_загуба_на_съзнание" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#При_установяване_загуба_на_съзнание"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>При установяване загуба на съзнание</span> </div> </a> <ul id="toc-При_установяване_загуба_на_съзнание-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Професионална_първа_помощ" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Професионална_първа_помощ"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2</span> <span>Професионална първа помощ</span> </div> </a> <ul id="toc-Професионална_първа_помощ-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Неблагоприятни_последици" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Неблагоприятни_последици"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Неблагоприятни последици</span> </div> </a> <ul id="toc-Неблагоприятни_последици-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Източници" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Източници"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Източници</span> </div> </a> <ul id="toc-Източници-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Съдържание" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Скриване/показване на съдържанието" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Скриване/показване на съдържанието</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Клинична смърт</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Към статията на друг език. Налична на 35 езика" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-35" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">35 езика</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%85%D9%88%D8%AA_%D8%B3%D8%B1%D9%8A%D8%B1%D9%8A" title="موت سريري – арабски" lang="ar" hreflang="ar" data-title="موت سريري" data-language-autonym="العربية" data-language-local-name="арабски" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Kliniki_%C3%B6l%C3%BCm" title="Kliniki ölüm – азербайджански" lang="az" hreflang="az" data-title="Kliniki ölüm" data-language-autonym="Azərbaycanca" data-language-local-name="азербайджански" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-be mw-list-item"><a href="https://be.wikipedia.org/wiki/%D0%9A%D0%BB%D1%96%D0%BD%D1%96%D1%87%D0%BD%D0%B0%D1%8F_%D1%81%D0%BC%D0%B5%D1%80%D1%86%D1%8C" title="Клінічная смерць – беларуски" lang="be" hreflang="be" data-title="Клінічная смерць" data-language-autonym="Беларуская" data-language-local-name="беларуски" class="interlanguage-link-target"><span>Беларуская</span></a></li><li class="interlanguage-link interwiki-be-x-old mw-list-item"><a href="https://be-tarask.wikipedia.org/wiki/%D0%9A%D0%BB%D1%96%D0%BD%D1%96%D1%87%D0%BD%D0%B0%D1%8F_%D1%81%D1%8C%D0%BC%D0%B5%D1%80%D1%86%D1%8C" title="Клінічная сьмерць – Belarusian (Taraškievica orthography)" lang="be-tarask" hreflang="be-tarask" data-title="Клінічная сьмерць" data-language-autonym="Беларуская (тарашкевіца)" data-language-local-name="Belarusian (Taraškievica orthography)" class="interlanguage-link-target"><span>Беларуская (тарашкевіца)</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%A1%E0%A6%BE%E0%A6%95%E0%A7%8D%E0%A6%A4%E0%A6%BE%E0%A6%B0%E0%A6%BF_%E0%A6%AE%E0%A7%83%E0%A6%A4%E0%A7%8D%E0%A6%AF%E0%A7%81" title="ডাক্তারি মৃত্যু – бенгалски" lang="bn" hreflang="bn" data-title="ডাক্তারি মৃত্যু" data-language-autonym="বাংলা" data-language-local-name="бенгалски" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Klinick%C3%A1_smrt" title="Klinická smrt – чешки" lang="cs" hreflang="cs" data-title="Klinická smrt" data-language-autonym="Čeština" data-language-local-name="чешки" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Hjerted%C3%B8d" title="Hjertedød – датски" lang="da" hreflang="da" data-title="Hjertedød" data-language-autonym="Dansk" data-language-local-name="датски" class="interlanguage-link-target"><span>Dansk</span></a></li><li class="interlanguage-link interwiki-de badge-Q70894304 mw-list-item" title=""><a href="https://de.wikipedia.org/wiki/Klinischer_Tod" title="Klinischer Tod – немски" lang="de" hreflang="de" data-title="Klinischer Tod" data-language-autonym="Deutsch" data-language-local-name="немски" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Clinical_death" title="Clinical death – английски" lang="en" hreflang="en" data-title="Clinical death" data-language-autonym="English" data-language-local-name="английски" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Klinika_morto" title="Klinika morto – есперанто" lang="eo" hreflang="eo" data-title="Klinika morto" data-language-autonym="Esperanto" data-language-local-name="есперанто" class="interlanguage-link-target"><span>Esperanto</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Muerte_cl%C3%ADnica" title="Muerte clínica – испански" lang="es" hreflang="es" data-title="Muerte clínica" data-language-autonym="Español" data-language-local-name="испански" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Kliiniline_surm" title="Kliiniline surm – естонски" lang="et" hreflang="et" data-title="Kliiniline surm" data-language-autonym="Eesti" data-language-local-name="естонски" class="interlanguage-link-target"><span>Eesti</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%85%D8%B1%DA%AF_%D8%A8%D8%A7%D9%84%DB%8C%D9%86%DB%8C" title="مرگ بالینی – персийски" lang="fa" hreflang="fa" data-title="مرگ بالینی" data-language-autonym="فارسی" data-language-local-name="персийски" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%9E%D7%95%D7%95%D7%AA_%D7%A7%D7%9C%D7%99%D7%A0%D7%99" title="מוות קליני – иврит" lang="he" hreflang="he" data-title="מוות קליני" data-language-autonym="עברית" data-language-local-name="иврит" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%A8%E0%A5%88%E0%A4%A6%E0%A4%BE%E0%A4%A8%E0%A4%BF%E0%A4%95_%E0%A4%AE%E0%A5%8C%E0%A4%A4" title="नैदानिक मौत – хинди" lang="hi" hreflang="hi" data-title="नैदानिक मौत" data-language-autonym="हिन्दी" data-language-local-name="хинди" class="interlanguage-link-target"><span>हिन्दी</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D4%BF%D5%AC%D5%AB%D5%B6%D5%AB%D5%AF%D5%A1%D5%AF%D5%A1%D5%B6_%D5%B4%D5%A1%D5%B0" title="Կլինիկական մահ – арменски" lang="hy" hreflang="hy" data-title="Կլինիկական մահ" data-language-autonym="Հայերեն" data-language-local-name="арменски" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Kematian_klinis" title="Kematian klinis – индонезийски" lang="id" hreflang="id" data-title="Kematian klinis" data-language-autonym="Bahasa Indonesia" data-language-local-name="индонезийски" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%9E%84%EC%83%81%EC%82%AC" title="임상사 – корейски" lang="ko" hreflang="ko" data-title="임상사" data-language-autonym="한국어" data-language-local-name="корейски" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Klinikin%C4%97_mirtis" title="Klinikinė mirtis – литовски" lang="lt" hreflang="lt" data-title="Klinikinė mirtis" data-language-autonym="Lietuvių" data-language-local-name="литовски" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-lv mw-list-item"><a href="https://lv.wikipedia.org/wiki/Kl%C4%ABnisk%C4%81_n%C4%81ve" title="Klīniskā nāve – латвийски" lang="lv" hreflang="lv" data-title="Klīniskā nāve" data-language-autonym="Latviešu" data-language-local-name="латвийски" class="interlanguage-link-target"><span>Latviešu</span></a></li><li class="interlanguage-link interwiki-mn mw-list-item"><a href="https://mn.wikipedia.org/wiki/%D0%AD%D0%BC%D0%BD%D1%8D%D0%BB%D0%B7%D2%AF%D0%B9%D0%BD_%D2%AF%D1%85%D1%8D%D0%BB" title="Эмнэлзүйн үхэл – монголски" lang="mn" hreflang="mn" data-title="Эмнэлзүйн үхэл" data-language-autonym="Монгол" data-language-local-name="монголски" class="interlanguage-link-target"><span>Монгол</span></a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Kematian_klinikal" title="Kematian klinikal – малайски" lang="ms" hreflang="ms" data-title="Kematian klinikal" data-language-autonym="Bahasa Melayu" data-language-local-name="малайски" class="interlanguage-link-target"><span>Bahasa Melayu</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Klinisch_dood" title="Klinisch dood – нидерландски" lang="nl" hreflang="nl" data-title="Klinisch dood" data-language-autonym="Nederlands" data-language-local-name="нидерландски" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/%C5%9Amier%C4%87_kliniczna" title="Śmierć kliniczna – полски" lang="pl" hreflang="pl" data-title="Śmierć kliniczna" data-language-autonym="Polski" data-language-local-name="полски" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Moarte_clinic%C4%83" title="Moarte clinică – румънски" lang="ro" hreflang="ro" data-title="Moarte clinică" data-language-autonym="Română" data-language-local-name="румънски" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D1%81%D0%BC%D0%B5%D1%80%D1%82%D1%8C" title="Клиническая смерть – руски" lang="ru" hreflang="ru" data-title="Клиническая смерть" data-language-autonym="Русский" data-language-local-name="руски" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Klini%C4%8Dna_smrt" title="Klinična smrt – словенски" lang="sl" hreflang="sl" data-title="Klinična smrt" data-language-autonym="Slovenščina" data-language-local-name="словенски" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-sq mw-list-item"><a href="https://sq.wikipedia.org/wiki/Vdekja_klinike" title="Vdekja klinike – албански" lang="sq" hreflang="sq" data-title="Vdekja klinike" data-language-autonym="Shqip" data-language-local-name="албански" class="interlanguage-link-target"><span>Shqip</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Klini%C4%8Dka_smrt" title="Klinička smrt – сръбски" lang="sr" hreflang="sr" data-title="Klinička smrt" data-language-autonym="Српски / srpski" data-language-local-name="сръбски" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Atria_mortis" title="Atria mortis – шведски" lang="sv" hreflang="sv" data-title="Atria mortis" data-language-autonym="Svenska" data-language-local-name="шведски" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%9A%D0%BB%D1%96%D0%BD%D1%96%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D0%B5%D1%80%D1%82%D1%8C" title="Клінічна смерть – украински" lang="uk" hreflang="uk" data-title="Клінічна смерть" data-language-autonym="Українська" data-language-local-name="украински" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/Klinik_o%CA%BBlim" title="Klinik oʻlim – узбекски" lang="uz" hreflang="uz" data-title="Klinik oʻlim" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="узбекски" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/Ch%E1%BA%BFt_l%C3%A2m_s%C3%A0ng" title="Chết lâm sàng – виетнамски" lang="vi" hreflang="vi" data-title="Chết lâm sàng" data-language-autonym="Tiếng Việt" data-language-local-name="виетнамски" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-yi mw-list-item"><a href="https://yi.wikipedia.org/wiki/%D7%A7%D7%9C%D7%99%D7%A0%D7%99%D7%A9%D7%A2%D7%A8_%D7%98%D7%95%D7%99%D7%98" title="קלינישער טויט – идиш" lang="yi" hreflang="yi" data-title="קלינישער טויט" data-language-autonym="ייִדיש" data-language-local-name="идиш" class="interlanguage-link-target"><span>ייִדיש</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E4%B8%B4%E5%BA%8A%E6%AD%BB%E4%BA%A1" title="临床死亡 – китайски" lang="zh" hreflang="zh" data-title="临床死亡" data-language-autonym="中文" data-language-local-name="китайски" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q1989450#sitelinks-wikipedia" title="Редактиране на междуезиковите препратки" class="wbc-editpage">Редактиране</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Именни пространства"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" > <div class="vector-menu-content"> <ul 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class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet" aria-hidden="true" ><span class="vector-dropdown-label-text">български</span> </label> <div class="vector-dropdown-content"> <div id="p-variants" class="vector-menu mw-portlet mw-portlet-variants emptyPortlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> </ul> </div> </div> </div> </div> </nav> </div> <div id="right-navigation" class="vector-collapsible"> <nav aria-label="Прегледи"> <div id="p-views" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-views" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-view" class="selected vector-tab-noicon mw-list-item"><a href="/wiki/%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82"><span>Преглед</span></a></li><li id="ca-ve-edit" class="vector-tab-noicon mw-list-item"><a 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href="/w/index.php?title=%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:DownloadAsPdf&page=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=show-download-screen"><span>Изтегляне като PDF</span></a></li><li id="t-print" class="mw-list-item"><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&printable=yes" title="Версия за печат на страницата [p]" accesskey="p"><span>Версия за печат</span></a></li> </ul> </div> </div> <div id="p-wikibase-otherprojects" class="vector-menu mw-portlet mw-portlet-wikibase-otherprojects" > <div class="vector-menu-heading"> В други проекти </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="t-wikibase" class="wb-otherproject-link wb-otherproject-wikibase-dataitem mw-list-item"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q1989450" title="Препратка към свързания обект от хранилището за данни [g]" accesskey="g"><span>Обект в Уикиданни</span></a></li> </ul> </div> </div> </div> </div> </div> </div> </nav> </div> </div> </div> <div class="vector-column-end"> <div class="vector-sticky-pinned-container"> <nav class="vector-page-tools-landmark" aria-label="Page tools"> <div id="vector-page-tools-pinned-container" class="vector-pinned-container"> </div> </nav> <nav class="vector-appearance-landmark" aria-label="Облик"> <div id="vector-appearance-pinned-container" class="vector-pinned-container"> <div id="vector-appearance" class="vector-appearance vector-pinnable-element"> <div class="vector-pinnable-header vector-appearance-pinnable-header vector-pinnable-header-pinned" data-feature-name="appearance-pinned" data-pinnable-element-id="vector-appearance" data-pinned-container-id="vector-appearance-pinned-container" data-unpinned-container-id="vector-appearance-unpinned-container" > <div class="vector-pinnable-header-label">Облик</div> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-appearance.pin">преместване към страничната лента</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-appearance.unpin">скриване</button> </div> </div> </div> </nav> </div> </div> <div id="bodyContent" class="vector-body" aria-labelledby="firstHeading" data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">от Уикипедия, свободната енциклопедия</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="bg" dir="ltr"><figure typeof="mw:File/Thumb"><a href="/wiki/%D0%A4%D0%B0%D0%B9%D0%BB:Clinical_death-1.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a1/Clinical_death-1.jpg/300px-Clinical_death-1.jpg" decoding="async" width="300" height="424" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a1/Clinical_death-1.jpg/450px-Clinical_death-1.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a1/Clinical_death-1.jpg/600px-Clinical_death-1.jpg 2x" data-file-width="1754" data-file-height="2480" /></a><figcaption>Комплект медикаменти за третиране на пациент изпаднал в клинична смърт: <a href="/wiki/%D0%90%D0%B4%D0%B5%D0%BD%D0%BE%D0%B7%D0%B8%D0%BD" title="Аденозин">Аденозин</a>, <a href="/w/index.php?title=%D0%90%D0%BC%D0%B8%D0%BE%D0%B4%D0%B0%D1%80%D0%BE%D0%BD&action=edit&redlink=1" class="new" title="Амиодарон (страницата не съществува)">амиодарон</a>, <a href="/wiki/%D0%90%D1%82%D1%80%D0%BE%D0%BF%D0%B8%D0%BD" title="Атропин">атропин</a>, <a href="/wiki/%D0%92%D0%B0%D0%B7%D0%BE%D0%BF%D1%80%D0%B5%D1%81%D0%B8%D0%BD" class="mw-redirect" title="Вазопресин">вазопресин</a>, <a href="/wiki/%D0%94%D0%B5%D0%BA%D1%81%D0%B0%D0%BC%D0%B5%D1%82%D0%B0%D0%B7%D0%BE%D0%BD" title="Дексаметазон">дексаметазон</a> (стероид), <a href="/wiki/%D0%94%D0%BE%D0%BF%D0%B0%D0%BC%D0%B8%D0%BD" title="Допамин">допамин</a>, <a href="/wiki/%D0%95%D0%BF%D0%B8%D0%BD%D0%B5%D1%84%D1%80%D0%B8%D0%BD" class="mw-redirect" title="Епинефрин">епинефрин</a> (<a href="/wiki/%D0%90%D0%B4%D1%80%D0%B5%D0%BD%D0%B0%D0%BB%D0%B8%D0%BD" title="Адреналин">адреналин</a>), <a href="/w/index.php?title=%D0%9B%D0%B5%D0%B2%D0%BE%D1%84%D0%B5%D0%B4&action=edit&redlink=1" class="new" title="Левофед (страницата не съществува)">левофед</a>, <a href="/wiki/%D0%9B%D0%B8%D0%B4%D0%BE%D0%BA%D0%B0%D0%B8%D0%BD" title="Лидокаин">лидокаин</a>, <a href="/w/index.php?title=%D0%9D%D0%B0%D1%80%D0%BA%D0%B0%D0%BD&action=edit&redlink=1" class="new" title="Наркан (страницата не съществува)">наркан</a> (<a href="/wiki/%D0%9D%D0%B0%D0%BB%D0%BE%D0%BA%D1%81%D0%BE%D0%BD" title="Налоксон">налоксон</a>), <a href="/w/index.php?title=%D0%A4%D0%B5%D0%BD%D0%B8%D0%BB%D0%B5%D1%84%D1%80%D0%B8%D0%BD&action=edit&redlink=1" class="new" title="Фенилефрин (страницата не съществува)">фенилефрин</a>, <a href="/w/index.php?title=%D0%A4%D0%BB%D1%83%D0%BC%D0%B0%D0%B7%D0%B5%D0%BD%D0%B8%D0%BB&action=edit&redlink=1" class="new" title="Флумазенил (страницата не съществува)">флумазенил</a>, <a href="/wiki/%D0%A4%D1%83%D1%80%D0%BE%D1%81%D0%B5%D0%BC%D0%B8%D0%B4" title="Фуросемид">фуросемид</a>; разтори на: <a href="/wiki/%D0%93%D0%BB%D1%8E%D0%BA%D0%BE%D0%B7%D0%B0" title="Глюкоза">глюкоза</a>, <a href="/wiki/%D0%9A%D0%B0%D0%BB%D0%B8%D0%B9" title="Калий">калиев хлорид</a>, <a href="/wiki/%D0%9A%D0%B0%D0%BB%D1%86%D0%B8%D0%B9" title="Калций">калциев хлорид</a>, <a href="/wiki/%D0%9C%D0%B0%D0%B3%D0%BD%D0%B5%D0%B7%D0%B8%D0%B9" title="Магнезий">магнезиев сулфат</a>, <a href="/wiki/%D0%91%D0%B8%D0%BA%D0%B0%D1%80%D0%B1%D0%BE%D0%BD%D0%B0%D1%82" class="mw-redirect" title="Бикарбонат">натриев бикарбонат</a>, <a href="/wiki/%D0%A4%D0%B8%D0%B7%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D0%BD_%D1%80%D0%B0%D0%B7%D1%82%D0%B2%D0%BE%D1%80" title="Физиологичен разтвор">натриев хлорид</a></figcaption></figure> <p><b>Клинична смърт</b> се нарича естественото спиране на животоподдържащите функции <a href="/wiki/%D0%9A%D1%80%D1%8A%D0%B2%D0%BE%D0%BE%D0%B1%D1%80%D0%B0%D1%89%D0%B5%D0%BD%D0%B8%D0%B5" title="Кръвообращение">кръвообращение</a> и <a href="/wiki/%D0%94%D0%B8%D1%88%D0%B0%D0%BD%D0%B5" title="Дишане">дишане</a> или неизбежното им спиране при премахване/изключване на апаратна поддръжка на организма. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Спешност"><span id=".D0.A1.D0.BF.D0.B5.D1.88.D0.BD.D0.BE.D1.81.D1.82"></span>Спешност</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=1" title="Редактиране на раздел: Спешност" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=1" title="Edit section's source code: Спешност"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>В контекста на медицинската грижа за пациента, клиничната смърт е спешно и неотложно състояние, което изисква своевременна намеса<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> в рамките на 1 – 2 минути от установяване на състоянието. Има данни за продължително оцеляване на <a href="/wiki/%D0%9E%D1%80%D0%B3%D0%B0%D0%BD_(%D0%B0%D0%BD%D0%B0%D1%82%D0%BE%D0%BC%D0%B8%D1%8F)" title="Орган (анатомия)">органи</a> и <a href="/wiki/%D0%A2%D1%8A%D0%BA%D0%B0%D0%BD" title="Тъкан">тъкани</a> часове след прекратяване на кръвообращението. <a href="/wiki/%D0%9A%D0%BE%D0%B6%D0%B0" title="Кожа">кожата</a>, <a href="/wiki/%D0%9A%D0%BE%D1%81%D1%82" title="Кост">костите</a> и <a href="/wiki/%D0%A1%D1%83%D1%85%D0%BE%D0%B6%D0%B8%D0%BB%D0%B8%D0%B5" title="Сухожилие">сухожилията</a> могат да оцелеят и 8 – 12 часа<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> след прекъсване на кръвообращението. Прекъсването на кръвообращението до <a href="/wiki/%D0%93%D1%80%D1%8A%D0%B1%D0%BD%D0%B0%D1%87%D0%B5%D0%BD_%D0%BC%D0%BE%D0%B7%D1%8A%D0%BA" title="Гръбначен мозък">гръбначния мозък</a> води до нарушаване на процесите в органите и 30 минути е долната граница на оцеляването им при аноксия.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Терапевтично_прекъсване_на_кръвообращението"><span id=".D0.A2.D0.B5.D1.80.D0.B0.D0.BF.D0.B5.D0.B2.D1.82.D0.B8.D1.87.D0.BD.D0.BE_.D0.BF.D1.80.D0.B5.D0.BA.D1.8A.D1.81.D0.B2.D0.B0.D0.BD.D0.B5_.D0.BD.D0.B0_.D0.BA.D1.80.D1.8A.D0.B2.D0.BE.D0.BE.D0.B1.D1.80.D0.B0.D1.89.D0.B5.D0.BD.D0.B8.D0.B5.D1.82.D0.BE"></span>Терапевтично прекъсване на кръвообращението</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=2" title="Редактиране на раздел: Терапевтично прекъсване на кръвообращението" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=2" title="Edit section's source code: Терапевтично прекъсване на кръвообращението"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/%D0%A4%D0%B0%D0%B9%D0%BB:Heart-lung-machine.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/f/f2/Heart-lung-machine.jpg/220px-Heart-lung-machine.jpg" decoding="async" width="220" height="177" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/f2/Heart-lung-machine.jpg/330px-Heart-lung-machine.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/f2/Heart-lung-machine.jpg/440px-Heart-lung-machine.jpg 2x" data-file-width="640" data-file-height="515" /></a><figcaption>Машина „сърце-бял дроб“.</figcaption></figure> <p>При някои <a href="/wiki/%D0%A5%D0%B8%D1%80%D1%83%D1%80%D0%B3%D0%B8%D1%8F" title="Хирургия">операции</a>, като например при сърдечна хирургия или при васкуларна (съдова) операция на <a href="/wiki/%D0%90%D0%BE%D1%80%D1%82%D0%B0" title="Аорта">аортата</a>, умишлено временно се спира <a href="/wiki/%D0%A1%D1%8A%D1%80%D1%86%D0%B5" title="Сърце">сърцето</a> посредством ледено студена течност (или лед) и разтвори на <a href="/wiki/%D0%9A%D0%B0%D0%BB%D0%B8%D0%B5%D0%B2_%D1%85%D0%BB%D0%BE%D1%80%D0%B8%D0%B4" title="Калиев хлорид">калиев хлорид</a>, а оттам (пак кратковременно) и кръвообращението, докато пациентът бъде бързо поставен на ЕКМО машина (<b>е</b>кстра<b>к</b>орпорално <b>м</b>ембранно <b>о</b>кисляване – <i>ЕКМО</i> от <a href="/wiki/%D0%90%D0%BD%D0%B3%D0%BB%D0%B8%D0%B9%D1%81%D0%BA%D0%B8_%D0%B5%D0%B7%D0%B8%D0%BA" title="Английски език">англ.</a> <i>extracorporeal membrane oxygenation</i><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup>) и <a href="/wiki/%D0%9A%D0%BE%D0%BC%D0%B0%D0%BD%D0%B4%D0%BD%D0%BE_%D0%B4%D0%B8%D1%88%D0%B0%D0%BD%D0%B5" title="Командно дишане">командно дишане</a>, за да може да се манипулира сърдечната камера, съдове, клапи, да се поставят тефлонови графтове и прочее. </p><p><a href="/wiki/%D0%9C%D0%BE%D0%B7%D1%8A%D0%BA" class="mw-redirect" title="Мозък">Мозъкът</a> може да бъде поставен в условия на фенобарбитална <a href="/wiki/%D0%9A%D0%BE%D0%BC%D0%B0" title="Кома">кома</a><sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> посредством масивни дози успокоителни. При прекъсване на кръвообращението обаче, всички процеси обикновено утихват след около 20 – 40 секунди. </p> <div class="mw-heading mw-heading2"><h2 id="Феномени"><span id=".D0.A4.D0.B5.D0.BD.D0.BE.D0.BC.D0.B5.D0.BD.D0.B8"></span>Феномени</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=3" title="Редактиране на раздел: Феномени" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=3" title="Edit section's source code: Феномени"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Както и при всички медицински случаи така и клиничната смърт има своите феномени. Така например 47-годишен мъж след опит за <a href="/wiki/%D0%A1%D0%B0%D0%BC%D0%BE%D1%83%D0%B1%D0%B8%D0%B9%D1%81%D1%82%D0%B2%D0%BE" title="Самоубийство">самоубийство</a> във вана със студена вода е обявен за мъртъв от служителите на <a href="/wiki/%D0%A1%D0%BF%D0%B5%D1%88%D0%BD%D0%B0_%D0%BF%D0%BE%D0%BC%D0%BE%D1%89" class="mw-redirect" title="Спешна помощ">Спешна помощ</a>. Забавеното му с 4 часа транспортиране до болницата с температура на тялото 26,4 °C не осуетило спасяването му, тъй като <a href="/wiki/%D0%95%D0%BB%D0%B5%D0%BA%D1%82%D1%80%D0%BE%D0%BA%D0%B0%D1%80%D0%B4%D0%B8%D0%BE%D0%B3%D1%80%D0%B0%D0%BC%D0%B0" title="Електрокардиограма">кардиограмата</a> при пристигането му в болницата показва фибрилация. Медиците го дефибрилират и той оцелява след оказването на спешна терапия и последвалата <a href="/wiki/%D0%A0%D0%B5%D0%B0%D0%BD%D0%B8%D0%BC%D0%B0%D1%86%D0%B8%D1%8F" class="mw-redirect" title="Реанимация">реанимация</a>. Той е един от редките случаи на оцеляване след продължителна клинична смърт: липса на дишане и кръвообращение, без съществени увреждания на мозъка.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Причини_за_клинична_смърт"><span id=".D0.9F.D1.80.D0.B8.D1.87.D0.B8.D0.BD.D0.B8_.D0.B7.D0.B0_.D0.BA.D0.BB.D0.B8.D0.BD.D0.B8.D1.87.D0.BD.D0.B0_.D1.81.D0.BC.D1.8A.D1.80.D1.82"></span>Причини за клинична смърт</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=4" title="Редактиране на раздел: Причини за клинична смърт" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=4" title="Edit section's source code: Причини за клинична смърт"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Най-често срещана е клиничната смърт: </p> <ul><li>при травматични случаи;</li> <li>когато организмът изпадне в <a href="/wiki/%D0%A8%D0%BE%D0%BA" title="Шок">циркулаторен шок</a>;</li> <li>при тежко болни пациенти с метаболични и физиологични промени, водещи до кръвна <a href="/wiki/%D0%90%D1%86%D0%B8%D0%B4%D0%BE%D0%B7%D0%B0" title="Ацидоза">ацидоза</a> или алкалоза – състояния, несъвместими с продължаване на живота;</li> <li>при удавници;</li> <li>при жертви на <i>бялата смърт</i> – <a href="/wiki/%D0%A5%D0%B8%D0%BF%D0%BE%D1%82%D0%B5%D1%80%D0%BC%D0%B8%D1%8F" title="Хипотермия">хипотермия</a> от затрупване със сняг;</li> <li>при свръхдозиране с <a href="/wiki/%D0%9D%D0%B0%D1%80%D0%BA%D0%BE%D1%82%D0%B8%D1%87%D0%BD%D0%B8_%D0%B2%D0%B5%D1%89%D0%B5%D1%81%D1%82%D0%B2%D0%B0" class="mw-redirect" title="Наркотични вещества">наркотични</a> или сърдечноактивни вещества;</li> <li>след електрошок от индустриален/домакински <a href="/wiki/%D0%A2%D0%BE%D0%BA" class="mw-redirect" title="Ток">ток</a> или естествен електроизточник (<a href="/wiki/%D0%9C%D1%8A%D0%BB%D0%BD%D0%B8%D1%8F" title="Мълния">мълния</a>), както и много други причини, прекъсващи нормалната сърдечна функция.</li></ul> <div class="mw-heading mw-heading2"><h2 id="Първа_помощ"><span id=".D0.9F.D1.8A.D1.80.D0.B2.D0.B0_.D0.BF.D0.BE.D0.BC.D0.BE.D1.89"></span>Първа помощ</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=5" title="Редактиране на раздел: Първа помощ" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=5" title="Edit section's source code: Първа помощ"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="При_установяване_загуба_на_съзнание"><span id=".D0.9F.D1.80.D0.B8_.D1.83.D1.81.D1.82.D0.B0.D0.BD.D0.BE.D0.B2.D1.8F.D0.B2.D0.B0.D0.BD.D0.B5_.D0.B7.D0.B0.D0.B3.D1.83.D0.B1.D0.B0_.D0.BD.D0.B0_.D1.81.D1.8A.D0.B7.D0.BD.D0.B0.D0.BD.D0.B8.D0.B5"></span>При установяване загуба на съзнание</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=6" title="Редактиране на раздел: При установяване загуба на съзнание" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=6" title="Edit section's source code: При установяване загуба на съзнание"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <dl><dd><div class="dablink noprint"><span typeof="mw:File"><span><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/e/ec/Crystal_Clear_app_xmag.svg/17px-Crystal_Clear_app_xmag.svg.png" decoding="async" width="17" height="17" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/ec/Crystal_Clear_app_xmag.svg/26px-Crystal_Clear_app_xmag.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/ec/Crystal_Clear_app_xmag.svg/34px-Crystal_Clear_app_xmag.svg.png 2x" data-file-width="128" data-file-height="128" /></span></span> <i>Основна статия: <a href="/wiki/%D0%9A%D0%B0%D1%80%D0%B4%D0%B8%D0%BE-%D0%BF%D1%83%D0%BB%D0%BC%D0%BE%D0%BD%D0%B0%D1%80%D0%BD%D0%B0_%D0%BF%D1%8A%D1%80%D0%B2%D0%B0_%D0%BF%D0%BE%D0%BC%D0%BE%D1%89" title="Кардио-пулмонарна първа помощ">кардио-пулмонарна първа помощ</a></i></div></dd></dl> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/%D0%A4%D0%B0%D0%B9%D0%BB:Emergency_cart_meds.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/8/82/Emergency_cart_meds.jpg/220px-Emergency_cart_meds.jpg" decoding="async" width="220" height="310" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/82/Emergency_cart_meds.jpg/330px-Emergency_cart_meds.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/82/Emergency_cart_meds.jpg/440px-Emergency_cart_meds.jpg 2x" data-file-width="1477" data-file-height="2084" /></a><figcaption>Списък на стандартните лекарства, концентрация и брой дози в комплекта за неотложна помощ в случаите на клинична смърт.</figcaption></figure> <p>Загубата на съзнание може да е първият сигнал за нарушено или отсъстващо кръвообращение. Присъстващите трябва да се опитат да свестят с бързи и дразнещи мерки припадналия, а ако това не стане след 5 – 10 секунди, трябва да проверят за присъствие на отворени <a href="/wiki/%D0%94%D0%B8%D1%85%D0%B0%D1%82%D0%B5%D0%BB%D0%BD%D0%B0_%D1%81%D0%B8%D1%81%D1%82%D0%B5%D0%BC%D0%B0" title="Дихателна система">дихателни пътища</a> (има ли видима непроходимост в <a href="/wiki/%D0%93%D1%8A%D1%80%D0%BB%D0%BE" title="Гърло">гърлото</a> – <a href="/wiki/%D0%A5%D1%80%D0%B0%D0%BD%D0%B0" title="Храна">храна</a>, <a href="/wiki/%D0%98%D0%B3%D1%80%D0%B0%D1%87%D0%BA%D0%B0" title="Играчка">играчка</a>), дишане и <a href="/wiki/%D0%9F%D1%83%D0%BB%D1%81" title="Пулс">пулс</a>. При всички тези случаи е необходимо <b>незабавно активиране на органите за спешна медицинска помощ</b> и незабавна кардиопулмонарна ресусцитация („връщане към живот“; на <a href="/wiki/%D0%9B%D0%B0%D1%82%D0%B8%D0%BD%D1%81%D0%BA%D0%B8_%D0%B5%D0%B7%D0%B8%D0%BA" title="Латински език">латински</a>: <span lang="la" dir="ltr" style="font-style:italic">resuscitāre</span> – <i>re-</i> „отново“, <i>sus-</i> „под“ и <i>citare</i> „задвижвам“, „подбуждам“<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup>) сърдечен масаж и изкуствено дишане. Най-важният елемент до пристигане на медицинския екип е сърдечният масаж. Компресия на <a href="/wiki/%D0%93%D1%80%D1%8A%D0%B4%D0%B5%D0%BD_%D0%BA%D0%BE%D1%88" title="Гръден кош">гръдния кош</a> 5 – 8 см над долния край на „меча“ с дълбочина на компресията 5 – 10 см. Оказаната първа помощ дава десет минути шанс за оцеляване докато се изчаква медицинският екип.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Професионална_първа_помощ"><span id=".D0.9F.D1.80.D0.BE.D1.84.D0.B5.D1.81.D0.B8.D0.BE.D0.BD.D0.B0.D0.BB.D0.BD.D0.B0_.D0.BF.D1.8A.D1.80.D0.B2.D0.B0_.D0.BF.D0.BE.D0.BC.D0.BE.D1.89"></span>Професионална първа помощ</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=7" title="Редактиране на раздел: Професионална първа помощ" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=7" title="Edit section's source code: Професионална първа помощ"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-halign-left" typeof="mw:File/Thumb"><a href="/wiki/%D0%A4%D0%B0%D0%B9%D0%BB:Defibrillateur_501590_fh000003.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c6/Defibrillateur_501590_fh000003.jpg/120px-Defibrillateur_501590_fh000003.jpg" decoding="async" width="120" height="74" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c6/Defibrillateur_501590_fh000003.jpg/180px-Defibrillateur_501590_fh000003.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c6/Defibrillateur_501590_fh000003.jpg/240px-Defibrillateur_501590_fh000003.jpg 2x" data-file-width="974" data-file-height="599" /></a><figcaption>Монитор-дефибрилатор.</figcaption></figure> <p><b>Дефибрилиране</b> на сърцето при наличие на дефибрилатор е най-спасителната мярка, тъй като голям процент от случаите на преустановяване на кръвообращението се дължат на сърдечна фибрилация. При третиране от медицински персонал в здравно заведение или на полеви условия, сърдечният електрошок, <a href="/wiki/%D0%95%D0%BF%D0%B8%D0%BD%D0%B5%D1%84%D1%80%D0%B8%D0%BD" class="mw-redirect" title="Епинефрин">епинефрин</a>, <a href="/wiki/%D0%92%D0%B0%D0%B7%D0%BE%D0%BF%D1%80%D0%B5%D1%81%D0%B8%D0%BD" class="mw-redirect" title="Вазопресин">вазопресин</a>, <a href="/wiki/%D0%9B%D0%B8%D0%B4%D0%BE%D0%BA%D0%B0%D0%B8%D0%BD" title="Лидокаин">лидокаин</a>, <a href="/wiki/%D0%9A%D0%B0%D0%BB%D1%86%D0%B8%D0%B5%D0%B2_%D1%85%D0%BB%D0%BE%D1%80%D0%B8%D0%B4" title="Калциев хлорид">калциев хлорид</a>, <a href="/wiki/%D0%9A%D0%B0%D0%BB%D0%B8%D0%B5%D0%B2_%D1%85%D0%BB%D0%BE%D1%80%D0%B8%D0%B4" title="Калиев хлорид">калиев хлорид</a>, бикарбонатен разтвор, <a href="/wiki/%D0%98%D0%BD%D1%81%D1%83%D0%BB%D0%B8%D0%BD" title="Инсулин">инсулин</a> и други са измежду средствата за борба за възстановяване на кръвообращението. През цялото време на третиране трябва да се извършва сърдечен масаж около 100 компресии в минута и изкуствено дишане – около 10 инспирации в минута. </p><p>Напоследък в <a href="/wiki/%D0%A1%D0%90%D0%A9" class="mw-redirect" title="САЩ">САЩ</a> се лансира ресусцитация само посредством сърдечен масаж, като проучвания показват 300% по-голям успех от досегашните резултати<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> при прилагане на този метод. Японски учени също показват в едно проучване пубикувано в „<i>Ланцет</i>“ през март <a href="/wiki/2007" title="2007">2007</a> г., че именно сърдечният масаж, а не дишането „уста в уста“ (или посредством друго устройство доставящо кислород) е в основата на успеха при връщане на сърдечния ритъм.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> Последното не е приложимо при респираторна ацидоза, където е необходима спешна вентилация на <a href="/wiki/%D0%91%D0%B5%D0%BB%D0%B8_%D0%B4%D1%80%D0%BE%D0%B1%D0%BE%D0%B2%D0%B5" class="mw-redirect" title="Бели дробове">белите дробове</a>, за да се възстанови киселинно-основния баланс на кръвта (и организма); тогава е необходимо спешно интубиране – поставяне на тръба през устата или носа в <a href="/wiki/%D0%A2%D1%80%D0%B0%D1%85%D0%B5%D1%8F" class="mw-redirect" title="Трахея">трахеята</a>, чрез която да се доставя кислород и се евакуира <a href="/wiki/%D0%92%D1%8A%D0%B3%D0%BB%D0%B5%D1%80%D0%BE%D0%B4%D0%B5%D0%BD_%D0%B4%D0%B2%D1%83%D0%BE%D0%BA%D0%B8%D1%81" class="mw-redirect" title="Въглероден двуокис">въглероден двуокис</a>. </p> <div class="mw-heading mw-heading2"><h2 id="Неблагоприятни_последици"><span id=".D0.9D.D0.B5.D0.B1.D0.BB.D0.B0.D0.B3.D0.BE.D0.BF.D1.80.D0.B8.D1.8F.D1.82.D0.BD.D0.B8_.D0.BF.D0.BE.D1.81.D0.BB.D0.B5.D0.B4.D0.B8.D1.86.D0.B8"></span>Неблагоприятни последици</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=8" title="Редактиране на раздел: Неблагоприятни последици" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=8" title="Edit section's source code: Неблагоприятни последици"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>При по-продължително оставане в това състояние започват необратими процеси предизвикани от повреди на <a href="/wiki/%D0%A2%D1%8A%D0%BA%D0%B0%D0%BD" title="Тъкан">тъканите</a> в отсъствието на кислород (аноксия), като това е <a href="/wiki/%D0%9A%D0%B0%D1%81%D0%BA%D0%B0%D0%B4%D0%B0" class="mw-redirect mw-disambig" title="Каскада">каскадообразен</a> процес, който засяга първо най-кръвоснабдените органи на тялото: мозъка, <a href="/wiki/%D0%91%D1%8A%D0%B1%D1%80%D0%B5%D0%BA" title="Бъбрек">бъбреците</a>, сърцето и <a href="/wiki/%D0%A7%D0%B5%D1%80%D0%B5%D0%BD_%D0%B4%D1%80%D0%BE%D0%B1" title="Черен дроб">черния дроб</a>. При спиране на <a href="/wiki/%D0%9E%D1%80%D0%BE%D1%81%D1%8F%D0%B2%D0%B0%D0%BD%D0%B5" title="Оросяване">оросяването</a> на мозъка при нормална <a href="/wiki/%D0%A2%D0%B5%D0%BC%D0%BF%D0%B5%D1%80%D0%B0%D1%82%D1%83%D1%80%D0%B0" title="Температура">температура</a>, прозорецът на възможността да се предотврати трайно увреждане на главния мозък и впоследствие мозъчна смърт е около 3 минути.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> След това започват необратими процеси. Практическите познания показват времето между клинична смърт и мозъчна смърт да е около 3 – 5 минути: 5 минути след прекратяване на кръвообращението на мозъка при нормална температура на тялото настъпва безкислородна дегенеративна <a href="/w/index.php?title=%D0%95%D0%BD%D1%86%D0%B5%D1%84%D0%B0%D0%BB%D0%BE%D0%BF%D0%B0%D1%82%D0%B8%D1%8F&action=edit&redlink=1" class="new" title="Енцефалопатия (страницата не съществува)">енцефалопатия</a> и ако благодарение на <a href="/wiki/%D0%A1%D0%BF%D0%B5%D1%88%D0%BD%D0%B0_%D0%BF%D0%BE%D0%BC%D0%BE%D1%89" class="mw-redirect" title="Спешна помощ">реанимация</a> тялото възвърне кръвообращението си, се очаква мозъкът да е претърпял необратими повреди, лишаващи човека от индивидуалност и висши функции: <a href="/wiki/%D0%93%D0%BE%D0%B2%D0%BE%D1%80" title="Говор">говор</a>, организирано движение на крайниците, <a href="/wiki/%D0%9A%D0%BE%D0%BC%D1%83%D0%BD%D0%B8%D0%BA%D0%B0%D1%86%D0%B8%D1%8F" class="mw-redirect" title="Комуникация">комуникация</a>, <a href="/wiki/%D0%93%D1%8A%D0%BB%D1%82%D0%B0%D0%BD%D0%B5" class="mw-redirect" title="Гълтане">гълтане</a> и други основни характеристики на човешкото съществуване. Най-уязвимите <a href="/wiki/%D0%9D%D0%B5%D0%B2%D1%80%D0%BE%D0%BD" title="Неврон">неврони</a> – тези на областта на мозъчната кора <a href="/w/index.php?title=%D0%A5%D0%B8%D0%BF%D0%BE%D0%BA%D0%B0%D0%BC%D0%BF%D1%83%D1%81&action=edit&redlink=1" class="new" title="Хипокампус (страницата не съществува)">хипокампус</a>, са фатално повредени след 10 минути аноксия, а умират часове след това.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> При жертви на удавяне в студени води, шансовете за връщане към живот може да се увеличат поради предварителната хипотермия. За всеки 10 °C пад на телесната температура, шансовете за оцеляване се увеличават два пъти, тъй като биохимичните реакции се забавят.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Източници"><span id=".D0.98.D0.B7.D1.82.D0.BE.D1.87.D0.BD.D0.B8.D1.86.D0.B8"></span>Източници</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&veaction=edit&section=9" title="Редактиране на раздел: Източници" class="mw-editsection-visualeditor"><span>редактиране</span></a><span class="mw-editsection-divider"> | </span><a href="/w/index.php?title=%D0%9A%D0%BB%D0%B8%D0%BD%D0%B8%D1%87%D0%BD%D0%B0_%D1%81%D0%BC%D1%8A%D1%80%D1%82&action=edit&section=9" title="Edit section's source code: Източници"><span>редактиране на кода</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><a href="#cite_ref-1">↑</a></span> <span class="reference-text">бел.: Изключение правят пациенти, които са изразили волята си да не се полагат извънредни и болезнени мерки за продължаване на живота им (най-често поради тежки и нелечими заболявания или дълбока старост) При тях клиничната смърт се отбелязва без да се действува по спешност.</span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><a href="#cite_ref-2">↑</a></span> <span class="reference-text"><cite id="CITEREFLangdorf" class="book" style="font-style:normal">Langdorf, Mark и др. <a rel="nofollow" class="external text" href="http://www.emedicine.com/emerg/topic502.htm">Replantation</a> //  eMedicine Specialties, Emergency Medicine, Trauma and Orthopedics.  Посетен на 8 януари 2007.</cite></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><a href="#cite_ref-3">↑</a></span> <span class="reference-text"><cite id="CITEREFHazim_J1998" class="book" style="font-style:normal">Hazim J. <a rel="nofollow" class="external text" href="https://archive.is/20130112225003/http://ats.ctsnetjournals.org/cgi/content/abstract/66/4/1204">Effect of extended cross-clamp time during thoracoabdominal aortic aneurysm repair</a> //  <i>The Annals of Thoracic Surgery</i> 66.  The Society of Thoracic Surgeons, 1998. DOI:<a rel="nofollow" class="external text" href="https://dx.doi.org/10.1016/S0003-4975(98)00781-4">10.1016/S0003-4975(98)00781-4</a>. с. 1204 – 1208.  Архивиран от <a rel="nofollow" class="external text" href="http://ats.ctsnetjournals.org/cgi/content/abstract/66/4/1204">оригинала</a> на 2013-01-12. Посетен на 8 януари 2007.</cite></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><a href="#cite_ref-4">↑</a></span> <span class="reference-text"><i>Какво е ЕКМО?</i> (статия на английски) <a rel="nofollow" class="external text" href="http://oce.sph.unc.edu/phnceac/babyguide/ecmo.pdf">What is ECMO?</a><sup class="noprint plainlinks Inline-Template" style="white-space:nowrap">[<i><a class="external text" href="https://en.wikipedia.org/wiki/Wikipedia:Link_rot"><abbr title="Поставено от InternetArchiveBot – февруари 2021">неработеща препратка</abbr></a></i>]</sup></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><a href="#cite_ref-5">↑</a></span> <span class="reference-text">на сайта на <b>youtube</b> (<a rel="nofollow" class="external text" href="https://www.youtube.com/watch?v=fvKJTP8Ak84">Филмче за използване на ЕКМО при бебе</a></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><a href="#cite_ref-6">↑</a></span> <span class="reference-text">пак на сайта на <b>youtube</b>: <a rel="nofollow" class="external text" href="https://www.youtube.com/watch?v=Psci-wZKN_s&feature=related">ЕКМО на младеж</a></span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><a href="#cite_ref-7">↑</a></span> <span class="reference-text"><i>Midazolam and pentobarbital for refractory status epilepticus.</i>Holmes, GL & Riviello Jr., JJ. (1999) Elsevier Science Inc. Pediatric Neurology. 20(4), April 1999. pp.: 259 – 264. <i>...Although initial therapies with agents such as diazepam, phenytoin, or phenobarbital generally terminate seizure activity within 30 – 60 minutes, patients with refractory status epilepticus (RSE) lasting longer require additional intervention. High-dose pentobarbital has been the most commonly prescribed agent for the management of RSE in children...</i><a rel="nofollow" class="external text" href="http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TBD-3W7XCGJ-1&_user=4423&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059605&_version=1&_urlVersion=0&_userid=4423&md5=7c6fbbd62614d65d10e60b14265b0533">www.sciencedirect.com</a></span> </li> <li id="cite_note-8"><span class="mw-cite-backlink"><a href="#cite_ref-8">↑</a></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.ncbi.nlm.nih.gov/pubmed/19145531?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum"><i>Advanced cardiac life support and defibrillation in severe hypothermic cardiac arrest.</i></a></span> </li> <li id="cite_note-9"><span class="mw-cite-backlink"><a href="#cite_ref-9">↑</a></span> <span class="reference-text">бел.: от <i>CITĀRE</i> задвижвам, идва и надпис <i>CITO</i> – „цито“, върху спешни лекарски нареждания.</span> </li> <li id="cite_note-10"><span class="mw-cite-backlink"><a href="#cite_ref-10">↑</a></span> <span class="reference-text"><cite id="CITEREFChandra_NC_et_al1990" class="book" style="font-style:normal">Chandra NC et al. <a rel="nofollow" class="external text" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=2394116">Observations of hemodynamics during human cardiopulmonary resuscitation</a> //  <i>Critical Care Medicine</i> 18.  Lippincott Williams & Wilkins, 1990. DOI:<a rel="nofollow" class="external text" href="https://dx.doi.org/10.1097/00003246-199009000-00005">10.1097/00003246-199009000-00005</a>. с. 929 – 934. Посетен на 10 януари 2007.</cite></span> </li> <li id="cite_note-11"><span class="mw-cite-backlink"><a href="#cite_ref-11">↑</a></span> <span class="reference-text"><cite id="CITEREFCummins_RO_et_al1985" class="book" style="font-style:normal">Cummins RO et al. <a rel="nofollow" class="external text" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3970766">Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation</a> //  <i>The American Journal of Emergency Medicine</i> 3.  W B Saunders, 1985. DOI:<a rel="nofollow" class="external text" href="https://dx.doi.org/10.1016/0735-6757(85)90032-4">10.1016/0735-6757(85)90032-4</a>. с. 114 – 119. Посетен на 10 януари 2007.</cite></span> </li> <li id="cite_note-12"><span class="mw-cite-backlink"><a href="#cite_ref-12">↑</a></span> <span class="reference-text"><cite id="CITEREFEwy24_ноември_2004" class="book" style="font-style:normal">Ewy, Gordon A. <a rel="nofollow" class="external text" href="http://circ.ahajournals.org/cgi/content/full/111/16/2134?etoc">A new Cardiopulmonary resuscitation</a> //  <i>Circulation</i> 111 (2134 – 2142).  American Heart Association, 24 ноември 2004. DOI:<a rel="nofollow" class="external text" href="https://dx.doi.org/10.1161/01.CIR.0000162503.57657.FA">10.1161/01.CIR.0000162503.57657.FA</a>. с. 2134. 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Посетен на 9 януари 2007.</cite></span> </li> </ol></div>    </div><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Взето от „<a dir="ltr" href="https://bg.wikipedia.org/w/index.php?title=Клинична_смърт&oldid=12084401">https://bg.wikipedia.org/w/index.php?title=Клинична_смърт&oldid=12084401</a>“.</div></div> <div id="catlinks" class="catlinks" data-mw="interface"><div id="mw-normal-catlinks" class="mw-normal-catlinks"><a href="/wiki/%D0%A1%D0%BF%D0%B5%D1%86%D0%B8%D0%B0%D0%BB%D0%BD%D0%B8:%D0%9A%D0%B0%D1%82%D0%B5%D0%B3%D0%BE%D1%80%D0%B8%D0%B8" title="Специални:Категории">Категории</a>: <ul><li><a href="/wiki/%D0%9A%D0%B0%D1%82%D0%B5%D0%B3%D0%BE%D1%80%D0%B8%D1%8F:%D0%A1%D0%BC%D1%8A%D1%80%D1%82" title="Категория:Смърт">Смърт</a></li><li><a href="/wiki/%D0%9A%D0%B0%D1%82%D0%B5%D0%B3%D0%BE%D1%80%D0%B8%D1%8F:%D0%98%D0%BD%D1%82%D0%B5%D0%BD%D0%B7%D0%B8%D0%B2%D0%BD%D0%BE_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5" title="Категория:Интензивно лечение">Интензивно лечение</a></li></ul></div><div id="mw-hidden-catlinks" class="mw-hidden-catlinks mw-hidden-cats-hidden">Скрита категория: <ul><li><a href="/wiki/%D0%9A%D0%B0%D1%82%D0%B5%D0%B3%D0%BE%D1%80%D0%B8%D1%8F:%D0%A1%D1%82%D0%B0%D1%82%D0%B8%D0%B8_%D1%81_%D0%BD%D0%B5%D1%80%D0%B0%D0%B1%D0%BE%D1%82%D0%B5%D1%89%D0%B8_%D0%B2%D1%8A%D0%BD%D1%88%D0%BD%D0%B8_%D0%BF%D1%80%D0%B5%D0%BF%D1%80%D0%B0%D1%82%D0%BA%D0%B8" title="Категория:Статии с неработещи външни препратки">Статии с неработещи външни препратки</a></li></ul></div></div> </div> </main> </div> <div class="mw-footer-container"> <footer id="footer" class="mw-footer" > <ul id="footer-info"> <li id="footer-info-lastmod"> Последната промяна на страницата е извършена на 25 декември 2023 г. в 05:39 ч.</li> <li id="footer-info-copyright">Текстът е достъпен под лиценза <a rel="nofollow" class="external text" href="https://creativecommons.org/licenses/by-sa/4.0/deed.bg">Creative Commons Признание-Споделяне на споделеното</a>; може да са приложени допълнителни условия. 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