医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
17期
287-287
,共1页
心血管病学%恶性室性心律失常%胺碘酮
心血管病學%噁性室性心律失常%胺碘酮
심혈관병학%악성실성심률실상%알전동
Cardiovascular epidemiology%Malignant ventricular arrhythmia%Amiodarone
39例急性心肌梗死(AMI)伴恶性室性心律失常,频发室性早搏(简称室早)16例,室性心动过速(简称室速)17例,心室颤动(简称室颤)6例。对室早及室速的患者给予静脉胺碘酮后,室性心律失常得以纠正,对室颤6例患者先给予电复律,4例除颤成功,2例不成功者给予胺碘酮后,再次除颤成功。抢救成功38例,1例死于脑死亡。抢救成功者均转入内科病房治疗。
39例急性心肌梗死(AMI)伴噁性室性心律失常,頻髮室性早搏(簡稱室早)16例,室性心動過速(簡稱室速)17例,心室顫動(簡稱室顫)6例。對室早及室速的患者給予靜脈胺碘酮後,室性心律失常得以糾正,對室顫6例患者先給予電複律,4例除顫成功,2例不成功者給予胺碘酮後,再次除顫成功。搶救成功38例,1例死于腦死亡。搶救成功者均轉入內科病房治療。
39례급성심기경사(AMI)반악성실성심률실상,빈발실성조박(간칭실조)16례,실성심동과속(간칭실속)17례,심실전동(간칭실전)6례。대실조급실속적환자급여정맥알전동후,실성심률실상득이규정,대실전6례환자선급여전복률,4례제전성공,2례불성공자급여알전동후,재차제전성공。창구성공38례,1례사우뇌사망。창구성공자균전입내과병방치료。
39 cases of acute myocardial infarction (AMI) with malignant ventricular ar hythmia, frequent ventricular premature beat (hereinafter refer ed to as premature ventricular) in 16 cases, 17 cases of ventricular tachycardia (vt), ventricular fibril ation (ventricular fibril ation) 6 cases. Give room early and ventricular tachycardia patients after intravenous amiodarone, rectified ventricular ar hythmia, ventricular fibril ation, 6 cases of patients with first give cardioerter, success in 4 cases, 2 cases after fails to give amiodarone, defibril ation success again. 38 cases of successful rescue, 1 case died of brain death. Rescue winners are transfer ed to medical ward for treatment.
