El Tawil Chady, Mrad Sandra, Khishfe Basem F
Department of Emergency Medicine, American University of Beirut - Medical Center, Lebanon.
Department of Emergency Medicine, American University of Beirut, Medical Center/Mt Sinai Hospital, Lebanon.
Am J Emerg Med. 2017 Dec;35(12):1985.e3-1985.e4. doi: 10.1016/j.ajem.2017.09.009. Epub 2017 Sep 8.
A 54-year-old suffered from an out-of-hospital cardiac arrest. Compressions were started within minutes and the patient was in refractory ventricular fibrillation despite multiple asynchronized shocks and maximal doses of antiarrhythmic agents. Double sequential defibrillation was attempted with successful Return Of Spontaneous Circulation (ROSC) after a total of 61min of cardiac arrest. The patient was discharged home neurologically intact. Double sequential defibrillation could be a simple effective approach to patients with refractory ventricular fibrillation.
一名54岁患者发生院外心脏骤停。数分钟内开始进行胸外按压，尽管多次进行非同步电击并给予最大剂量抗心律失常药物，患者仍处于难治性室颤状态。尝试进行连续两次除颤，心脏骤停总共61分钟后自主循环恢复（ROSC）成功。患者出院时神经功能完好。连续两次除颤对于难治性室颤患者可能是一种简单有效的方法。
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