心室颤动与除颤。
Ventricular fibrillation and defibrillation.
作者信息
Jones P, Lodé N
机构信息
SMUR Pédiatrique, Réanimation Polyvalente (Paediatric Intensive Care), Hôpital Robert Debré APHP, 48 Boulevard Sérurier, 75935 Paris Cedex 19, France.
出版信息
Arch Dis Child. 2007 Oct;92(10):916-21. doi: 10.1136/adc.2006.115618.
Abstract
Cardiac arrest in children is not often due to a disturbance in rhythm that is amenable to electrical defibrillation, contrary to the situation in adults. When a shockable rhythm is present, defibrillation using an external electric shock applied at an early stage after pre-oxygenation and chest compressions is of proven efficacy. Success at conversion of ventricular fibrillation is dependent on the delay before delivering the shock and defibrillation efficiency, which is itself a function of thoracic impedance, energy dose and waveform.
摘要
与成人的情况相反，儿童心脏骤停往往并非由适合电除颤的节律紊乱所致。当存在可电击心律时，在预给氧和胸外按压后的早期阶段使用外部电击进行除颤已被证明是有效的。室颤转复成功取决于电击前的延迟时间和除颤效率，而除颤效率本身是胸壁阻抗、能量剂量和波形的函数。
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