CAJ | 학술논문

目的：探讨左室特发性室速消融过程中出现心室颤动（室颤）的抢救与护理。方法在三维标测指导下，对左室特发性室速进行消融，标测与导管消融过程中准备好除颤仪、体外除颤电极片、简易呼吸机等急救设备。结果5例在导管消融放电过程中出现室颤，立即予以电除颤与对症处理等措施，抢救成功。结论左室特发性室速消融术中，密切心电监护、充分的术前准备与积极的抢救与护理措施，是确保抢救成功的关键。
목적：탐토좌실특발성실속소융과정중출현심실전동（실전）적창구여호리。방법재삼유표측지도하，대좌실특발성실속진행소융，표측여도관소융과정중준비호제전의、체외제전전겁편、간역호흡궤등급구설비。결과5례재도관소융방전과정중출현실전，립즉여이전제전여대증처리등조시，창구성공。결론좌실특발성실속소융술중，밀절심전감호、충분적술전준비여적겁적창구여호리조시，시학보창구성공적관건。
Objective The explore resuscitation and nursing of ventricular fibrillation (VF)during the ablation of idiopathic left ventricular tachycardia (ILVT).Methods Radiofre-quency ablation guided by 3-D mapping system treated for ILVT.During the procedure,the de-fibrillator,the patches and the ventilator should be prepared.Results VF happened in 5 patients during ablation,and the resuscitation was successful after defibrillation and countermeasures.Con-clusion electrocardiograph monitoring,fully preparation before operation,active resuscitation and nursing countermeasures are the key to the success during the radiofrequency ablation.