Simon Erica M, Tanaka Kaori
Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
Department of Emergency Medicine, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7736, San Antonio, TX 78229, USA.
Cardiol Clin. 2018 Aug;36(3):387-393. doi: 10.1016/j.ccl.2018.03.006.
Ventricular fibrillation (VF) is the most commonly encountered arrhythmia following out-of-hospital cardiac arrest. Previous studies have demonstrated early defibrillation and bystander cardiopulmonary resuscitation as essential in reducing patient mortality. What remains a clinical concern, however, is the treatment of patients experiencing VF refractory to defibrillation. Although current guidelines advocate pharmacotherapy for the management of shock-refractory VF, double sequential defibrillation has become a popular topic of discussion. This article provides a discourse regarding refractory VF, and a review of double sequential defibrillation literature. Further study is required before the recommendation for widespread implementation of this defibrillation technique.
心室颤动（VF）是院外心脏骤停后最常见的心律失常。先前的研究表明，早期除颤和旁观者心肺复苏对于降低患者死亡率至关重要。然而，临床上仍然关注的是对除颤难治的心室颤动患者的治疗。尽管当前指南提倡药物治疗难治性休克性心室颤动，但双序列除颤已成为一个热门的讨论话题。本文提供了关于难治性心室颤动的论述，并对双序列除颤文献进行了综述。在推荐广泛实施这种除颤技术之前，还需要进一步研究。
