摘要
目的分析探讨急性心肌梗死合并恶性心律失常的院前急救措施。方法选取我院2011年-2014年出现心肌梗死合并恶性心律失常的患者200例,200例患者均进行院前抢救的措施。为200例患者进行了院前吸氧、静脉通路、硝酸甘油、镇定止痛的处理,没有出现血压下降的患者,给予静推胺碘酮300mg,如果无效在15分钟后再静推一次,剂量减半。出现室颤给予除颤。结果在进行院前抢救的200例患者中,有80例使用胺碘酮复苏成功,其余120例患者都接受了电除颤的处理,其中40例患者在2分钟内实施了除颤,全部一次性复苏成功,其余的80例患者没有在最佳的时间进行除颤治疗,71例复苏成功,9例死亡。结论为急性心肌梗死合并恶性心律失常的患者进行院前急救,可以最大限度的维持患者的生命,为患者争取治疗时间,对患者病情康复有重要的意义。
Objective To investigate the pre-hospital care of acute myocardial infarction（AMI） with malignant arrhythmia（MA）. Methods A total of 200 AMI patients with MA who were admitted to our hospital from 2011 to2014 were given pre-hospital care, including oxygen inhalation, venous access, nitroglycerin, and pain relief. Patients demonstrating no drop of blood pressure were given intravenous injection of 300 mg amiodarone, and patients with unsatisfactory outcome would repeat the injection in half dose 15 min later. Defibrillation would be carried out in case of ventricular fibrillation. Results Among the 200 patients who received pre-hospital care, 80 cases had successful resuscitation with amiodarone, and the other 120 cases all received electric defibrillation. Out of the 120 cases, 40 cases underwent defibrillation within two minutes and had one-time success of resuscitation; the other 80 cases did not receive defibrillation at the optimal time, and consequently 71 cases had successful resuscitation and 9 cases died.Conclusion Pre-hospital care for AMI patients with MA can maintain the life to the maximum extent, which will make time for treatment and is of great significance for the recovery of patients.
出处
《心血管病防治知识（学术版）》
2015年第6期60-62,共3页
Prevention and Treatment of Cardiovascular Disease
关键词
急性心肌梗死
恶性心律失常
院前急救
Acute myocardial infarction
Malignant arrhythmia
Pre-hospital care
