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植入式心律转复除颤器风暴:患者及家属的护理问题

Implantable cardioverter defibrillator storm: nursing care issues for patients and families.

作者信息

O'Brien Marian C, Langberg Jonathan, Valderrama Amy L, Kirkendoll Kenya, Romeiko Nancy, Dunbar Sandra B

机构信息

Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road NE, Atlanta, GA 30322, USA.

出版信息

Crit Care Nurs Clin North Am. 2005 Mar;17(1):9-16, ix. doi: 10.1016/j.ccell.2004.09.002.

DOI:10.1016/j.ccell.2004.09.002
PMID:15749396
Abstract

Implantable cardioverter defibrillators (ICDs) are being used for primary and secondary prevention of life-threatening cardiac arrhythmias, and evidence suggests that increased use is likely in the future. ICD storm, the delivery of two or more shocks within 24 hours, occurs in 10% to 20% of patients who have ICDs and can have long-lasting psychological and physical consequences. An understanding of the factors associated with ICD storm, relevant assessment, and patient and family teaching and counseling can help clinicians to better meet the needs of patients who have experienced ICD storm.

摘要

植入式心脏复律除颤器(ICD)正用于危及生命的心律失常的一级和二级预防,且有证据表明未来其使用可能会增加。ICD风暴是指在24小时内发生两次或更多次电击,在植入ICD的患者中有10%至20%会出现这种情况,并且可能会产生长期的心理和身体后果。了解与ICD风暴相关的因素、进行相关评估以及对患者及其家属进行教育和咨询,有助于临床医生更好地满足经历过ICD风暴的患者的需求。

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