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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.

DOI:10.1136/adc.2006.115618
PMID:17895341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2083243/
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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2
Death in correctional facilities: opportunities for automated external defibrillation.
Resuscitation. 2007 Jun;73(3):389-93. doi: 10.1016/j.resuscitation.2005.12.017. Epub 2007 Feb 6.
3
Pauses in chest compression and inappropriate shocks: a comparison of manual and semi-automatic defibrillation attempts.胸外按压中断与不适当电击：手动与半自动除颤尝试的比较
Resuscitation. 2007 May;73(2):212-20. doi: 10.1016/j.resuscitation.2006.09.006. Epub 2007 Jan 22.
4
Detection of ventricular fibrillation in the presence of cardiopulmonary resuscitation artefacts.在存在心肺复苏伪像的情况下检测心室颤动。
Resuscitation. 2007 Jan;72(1):115-23. doi: 10.1016/j.resuscitation.2006.05.017. Epub 2006 Nov 7.
5
Characteristics and outcome amongst young adults suffering from out-of-hospital cardiac arrest in whom cardiopulmonary resuscitation is attempted.尝试进行心肺复苏的院外心脏骤停年轻成年人的特征及预后
J Intern Med. 2006 Nov;260(5):435-41. doi: 10.1111/j.1365-2796.2006.01705.x.
6
Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest.按压深度和电击前停顿对心脏骤停期间除颤失败的影响
Resuscitation. 2006 Nov;71(2):137-45. doi: 10.1016/j.resuscitation.2006.04.008. Epub 2006 Sep 18.
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Risk factors for primary ventricular fibrillation during acute myocardial infarction: a systematic review and meta-analysis.急性心肌梗死期间原发性心室颤动的危险因素：一项系统评价和荟萃分析。
Eur Heart J. 2006 Nov;27(21):2499-510. doi: 10.1093/eurheartj/ehl218. Epub 2006 Sep 4.
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Heart Rhythm. 2006 Jul;3(7):755-9. doi: 10.1016/j.hrthm.2006.03.023. Epub 2006 Mar 28.