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題 名 | 未能早期去顫的心室纖維顫動病患之治療=The Resuscitation of Prolonged Ventricular Fibrillation |
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作 者 | 張櫻馨; 胡為雄; 楊大羽; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 5:2 2003[民92.] |
頁 次 | 頁160-165 |
分類號 | 415.31 |
關鍵詞 | 心室纖維顫動; 心肺復甦術; 換氣; 腎上腺素; Cardiac massage; Cardiopulmonary resuscitation; Epinephrine; Prolonged ventricular fibrillation; Ventilation; |
語 文 | 中文(Chinese) |
中文摘要 | 心室纖維顫動是院外心臟停止病人最常見的原因,能否及早接受去顫電擊,是決定去碩成功的重要關鍵,也就是說一旦發生心室纖維顫動,越早接受去顫電擊,存活率越高,越晚接受去顫電擊,存活率越低,而且對於持續未治療的心室纖維顫動,一旦直接接受去顫治療,隨之產生的心律常是心室停止(asystole)或無脈搏的電氣活動(pulseless Electrical Activity, PEA)。根據研究發現,在此類持續未治療的心室纖維顫動病患,在去顫電擊前,若能先給予適當時間與比率的胸部按壓與換氣,或腎上腺素(epinephrine)注射,也許可因此增加去顫成功的機會,進而增加病患的存活率。 |
英文摘要 | The majority of cases of out-of –hospital cardiac arrest is ventricular fibrillation. Survival after out-of-hospital ventricular fibrillation is determined primarily by the interval of time from the onset of ventricular fibrillation to electrical defibrillation. Rapid defibrillation is necessary to achieve the highest survival rates. But is the patients can’t receive early defibrillation, immediate countershock of prolonged ventricular frbillation most commonly is followed by asystole or pulseless electrical activity rhythm and the survival rate is so poor. Precountershock cardiopulmonary resuscitation with the optimal ratio of ventilation to chest compression and the use of epinephrine before defibrillation, seems to play an important role in the resuscitation of prolonged ventricular fibrillation patients. |
本系統中英文摘要資訊取自各篇刊載內容。