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目的对院前急救时在心肺复苏、除颤基础上联合使用胺碘酮抗恶性心律失常进行研究。方法 2008年1月至2011年6月急性心肌梗死(AMI)的患者共90例,对抢救结局以及胺碘酮引起的不良反应进行研究。结果 90例患者中有80例经过积极抢救成功,其中39例予胸外按压,气管插管等心肺复苏成功,41例经心肺复苏无效,立即予电击除颤,并使用抗心律失常药物胺碘酮抢救治疗,10例无效死亡。其中8例出现了不良反应,低血压2例,心动过缓4例,房室传导阻滞2例。低血压患者经过升压治疗后,血压恢复,其余患者经过对症处理后,症状逐渐恢复。结论对出现恶性心律失常的患者在常规心肺复苏、除颤的基础上快速给予胺碘酮治疗,能够提高抢救成功率。
Objective To study the combination of cardiopulmonary resuscitation and defibrillation with amiodarone-anti-malignant arrhythmia in pre-hospital emergency care. Methods A total of 90 patients with acute myocardial infarction (AMI) from January 2008 to June 2011 were enrolled in this study. The outcome of the rescue and the side effects caused by amiodarone were studied. Results Eighty of 90 patients were successfully rescued by active rescue. Thirty-nine patients underwent thoracic compression and endotracheal intubation and other cardiopulmonary resuscitation were successful. Forty-one patients were treated with cardiopulmonary resuscitation without effective defibrillation immediately. The patients were treated with amiodarone Ketone rescue treatment, 10 cases died. There were 8 cases of adverse reactions, hypotension in 2 cases, bradycardia in 4 cases, atrioventricular block in 2 cases. Hypotensive patients after the treatment of blood pressure, blood pressure recovery, the rest of the patients after symptomatic treatment, the symptoms gradually recovered. Conclusions Patients with malignant arrhythmia can be given amiodarone on the basis of conventional cardiopulmonary resuscitation and defibrillation, which can improve the success rate of rescue.