Mackintosh A F, Crabb M E, Brennan H, Williams J H, Chamberlain D A
Br Med J. 1979 Feb 24;1(6162):511-3. doi: 10.1136/bmj.1.6162.511.
The overall results over three and a half years of the treatment of ventricular fibrillation secondary to ischaemic heart disease in the Royal Sussex County Hospital were reviewed. Records of all patients who were brought to hospital by resuscitation ambulances or who were admitted to the coronary care unit from any source were analysed. Eighty-seven of the 174 patients (50%) who developed ventricular fibrillation were discharged. The survivors included 13 out of 61 patients (21%) in whom fibrillation was secondary to cardiogenic shock or severe left ventricular failure. The presence of resuscitation equipment and nursing staff trained to use it in the general wards and emergency areas ensured a uniformly high success rate throughout the hospital, similar to that achieved in the coronary care unit. Prompt defibrillation in the general wards and the accident and emergency department may improve overall survival.
对皇家萨塞克斯郡医院三年半以来对缺血性心脏病继发心室颤动的治疗总体结果进行了回顾。分析了所有由复苏救护车送至医院或从任何来源收治入冠心病监护病房的患者记录。174例发生心室颤动的患者中有87例（50%）出院。幸存者包括61例因心源性休克或严重左心室衰竭继发颤动患者中的13例（21%）。普通病房和急诊区域配备复苏设备并培训护理人员使用，确保了全院成功率始终很高，与冠心病监护病房相当。普通病房以及急诊科及时除颤可能会提高总体生存率。
