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大剂量肾上腺素使心脏骤停复苏成功(附4例病例报告)

Successful Resuscitation from Sudden Cardiac Arrest with High Dose Epinephrine
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摘要 自从本世纪初Cril将肾上腺素应用于临床以来,肾上腺素一直是抡救心脏骤停的主要手段,但最关键的问题是究竟应用多少剂量才能有效?我国已引用ACLS指南,推荐使用0.5mg~1mg标准剂量肾上腺素(SDE)达30余年,但实际疗效较差,近来国外已有学者对SDE提出异议。 High dose epinephrine hydrochloride intravenously was used in four patients with cardiac arrest after failure with standard epinephrine dose (SDE). All the four patients were defibrillated unsuccessfully with defibrillator after standard dose epinephrine was administered Bat they were defibrillated successfully after high dose epinephrine (HDE). was given. Two of the four patients had ventricular tachycardia attack. Our research suggested that IIDE is crucial to make the CPR successed. The therapy of HDE is more effective than that of SDE in the CPR.
出处 《哈尔滨医科大学学报》 CAS 1992年第3期223-224,共2页 Journal of Harbin Medical University
关键词 肾上腺素 心脏骤停 Cardiac arrest Standard dose epinephrine High dose epinephrine
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