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双轴除颤和使用艾司洛尔后难治性心室颤动存活的首例报告。

First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration.

作者信息

Boehm Kevin M, Keyes Daniel C, Mader Laura E, Moccia J Michelle

机构信息

St. Mary Mercy Hospital, Departments of Graduate Medical Education and Emergency Medicine, Livonia, Michigan; Michigan State University, College of Osteopathic Medicine, Department of Osteopathic Medical Specialties, East Lansing, Michigan.

St. Mary Mercy Hospital, Departments of Graduate Medical Education and Emergency Medicine, Livonia, Michigan.

出版信息

West J Emerg Med. 2016 Nov;17(6):762-765. doi: 10.5811/westjem.2016.8.30351. Epub 2016 Oct 20.

DOI:10.5811/westjem.2016.8.30351
PMID:27833686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5102605/
Abstract

There is a subset of patients who suffer a witnessed ventricular fibrillation (VF) arrest and despite receiving reasonable care with medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 joules of biphasic current) remain in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, with a novel approach, survived RVF to outpatient follow up.

摘要

有一部分患者发生了目击的心室颤动（VF）骤停，尽管接受了合理的药物治疗（肾上腺素和胺碘酮）以及多次除颤（200焦耳双相电流进行3次以上尝试），仍处于难治性室颤（RVF）状态，也称为电风暴。这些患者的死亡率高达97%。我们介绍了一例患者，通过一种新颖的方法，从难治性室颤中存活下来并接受门诊随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b4/5102605/64db009b5050/wjem-17-762-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b4/5102605/f395537a1103/wjem-17-762-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b4/5102605/64db009b5050/wjem-17-762-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b4/5102605/f395537a1103/wjem-17-762-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b4/5102605/64db009b5050/wjem-17-762-g002.jpg

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2
Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases.院外难治性心室颤动的双重序贯体外除颤：10例报告
Prehosp Emerg Care. 2015 January-March;19(1):126-130. doi: 10.3109/10903127.2014.942476. Epub 2014 Sep 22.
3
Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with refractory ventricular fibrillation.
Saudi J Anaesth. 2019 Oct-Dec;13(4):359-361. doi: 10.4103/sja.SJA_745_18.
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4
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5
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6
The evaluation and management of electrical storm.电风暴的评估与处理
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