Cummins R O
University of Washington.
Emerg Med Clin North Am. 1988 May;6(2):217-40.
Defibrillation has emerged as the single most effective intervention for resuscitation of patients from cardiac arrest. This article reviews the electrophysiologic basis of defibrillation, and ways to increase the effectiveness of counter-shocks, particularly for refractory ventricular fibrillation. Automatic implantable and automatic external defibrillators have been developed and are being used in many locations. In future years they will be used increasingly in the homes of high-risk patients, in community settings with limited access to emergency care, and by minimally trained pre-hospital emergency personnel.
除颤已成为使心脏骤停患者复苏的唯一最有效干预措施。本文回顾了除颤的电生理基础以及提高除颤效果的方法，尤其是针对难治性室颤。自动植入式和自动体外除颤器已研发出来并在许多地方得到应用。在未来几年，它们将越来越多地用于高危患者家中、急诊服务有限的社区环境以及经过最低限度培训的院前急救人员。
