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直升机航空医疗运输中的起搏风险

Pacing hazards in helicopter aeromedical transport.

作者信息

Sumchai A, Sternbach G, Eliastam M, Liem L B

机构信息

Department of Surgery, Stanford University Medical Center, California 94305.

出版信息

Am J Emerg Med. 1988 May;6(3):236-40. doi: 10.1016/0735-6757(88)90007-1.

DOI:10.1016/0735-6757(88)90007-1
PMID:3370099
Abstract

A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of "burst suppression" and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.

摘要

一名62岁男性,患有三度房室传导阻滞且血流动力学不稳定的室性心动过速,在直升机转运至专门的心脏护理病房途中发生心脏骤停。转运前,其室性心动过速已通过快速超速起搏技术成功终止。“猝发抑制”失败且心电图监测仪上无起搏器尖峰伪像,这引发了关于在直升机转运期间使用各种起搏技术潜在危害的疑问。最重要的是,该病例指出了直升机医疗舱中外源性电磁信号干扰的可能性。

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