Lapostolle F, Mahaut J M, Crocheton N, Levasseur J, Adnet F
Samu 93, hôpital Avicenne, 93009, Bobigny, France.
Ann Fr Anesth Reanim. 2003 Mar;22(3):235-7. doi: 10.1016/s0750-7658(03)00052-2.
Automated External Defibrillator (AED) during cardiopulmonary resuscitation should reduce mortality rate after out-of-hospital cardiac arrest. We report a case of defibrillation with AED during flight in a patient suffering cardiac arrest complicating an acute myocardial infarction. Two hours before landing, a 56-years-old man presented sudden cardiac arrest. Flight attendants performed basic cardiac life support, including AED. Five shocks were delivered. After landing, acute myocardial infarction was diagnosed and treated by prehospital thrombolysis and angioplasty with favorable outcome. AED is a crucial link of the chain of survival, especially where advance cardiac live support cannot be performed, like during flight. Despite an increasing AED availability, survival after cardiac arrest during flight remains exceptional.
在心肺复苏过程中使用自动体外除颤器（AED）应能降低院外心脏骤停后的死亡率。我们报告了一例在飞行过程中对一名因急性心肌梗死并发心脏骤停的患者使用AED进行除颤的病例。着陆前两小时，一名56岁男性突发心脏骤停。空乘人员进行了包括使用AED在内的基本心脏生命支持操作，共进行了五次电击。着陆后，诊断为急性心肌梗死，并通过院前溶栓和血管成形术进行治疗，结果良好。AED是生存链中的关键环节，尤其是在无法进行高级心脏生命支持的情况下，如在飞行过程中。尽管AED的可及性不断提高，但飞行过程中心脏骤停后的存活率仍然很低。
