摘要
目的探讨室颤患者的特点及抢救成功因素。方法对36例室颤患者的疾病种类、年龄、性别、症状、室颤发生时间、除颤次数、心肺复苏成功时间、再发室颤情况及实验室检查等进行分析。结果CCU病房急性心肌梗死患者室颤发生率高且抢救成功率高。在发病4h内，尤其频繁发作胸痛、焦虑、烦躁者发生室颤几率高，电击除颤及心肺复苏时间超过20min仍有较高的抢救成功几率。结论冠心病患者发生室颤抢救成功率高，尽快识别并进行电击除颤是抢救成功的关键。CCU病房医师对于心源性猝死尤其室颤患者的抢救应该有坚持不懈的信念。．
Objective To investigate the characteristics of ventrieular fibrillation and rescue success factors. Methods The type of illness, age, sex, symptoms, ventrieular fibrillation occurred, defibrillation number, successful cardiopulmonary resuscitation time, recurrent ventrieular fibrillation and laboratory examination of 36 patients with ventrieular fibrillation were analyzed. Results The incidence and rescue success factors of ventricular fibrillation of patients with acute myocardial infarction in CCU ward were high. Within 4 hours of onset, particularly patients with frequent episodes of chest pain, anxiety, irritability had high incidence of ventrieular fibrillation. Defibrillation and cardiopulmonary resuscitation for more than 20 minutes there was still the probability of success of ventrieular fibrillation. Conclusions Patients with coronary artery disease has high rescue success rate of ventricular fibrillation. Early identification and defibrillation is the key to successful treatment. CCU ward doctor should have persistent belief in rescuing patients with sudden cardiac death in particular ventricular fibrillation.
出处
《中国实用医刊》
2012年第20期47-49,共3页
Chinese Journal of Practical Medicine
关键词
CCU病房
室颤
急救
CCU ward
Ventricular fibrillation
First aid
