CAJ | 학술논문

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20 min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.
목적 탐토실전환자적특점급창구성공인소.방법 대36례실전환자적질병충류、년령、성별、증상、실전발생시간、제전차수、심폐복소성공시간、재발실전정황급실험실검사등진행분석.결과 CCU병방급성심기경사환자실전발생솔고차창구성공솔고.재발병4h내,우기빈번발작흉통、초필、번조자발생실전궤솔고,전격제전급심폐복소시간초과20 min잉유교고적창구성공궤솔.결론 관심병환자발생실전창구성공솔고,진쾌식별병진행전격제전시창구성공적관건.CCU병방의사대우심원성졸사우기실전환자적창구응해유견지불해적신념.
Objective To investigate the characteristics of ventricular fibrillation and rescue success factors.Methods The type of illness,age,sex,symptoms,ventricular fibrillation occurred,defibrillation number,successful cardiopulmonary resuscitation time,recurrent ventricular fibrillation and laboratory examination of 36 patients with ventricular 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 ventricular fibrillation.Defibrillation and cardiopulmonmary resuscitation for more than 20 minutes there was still the probability of success of ventricular 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.