电风暴的机制与治疗  

Mechanism and Treatment of Electric Storm

作　　者：陈永龄 贺承健[2] 邓立普[3] Chen Yongling;He Chengjian;Deng Lipu(University of South China;Affiliated Nanhua Hospital,University of South China,Department of critical care medicine;Affiliated Nanhua Hospital,University of South China,Department of critical care medicine,Hengyang,China)

机构地区：[1]南华大学 [2]南华大学附属南华医院重症医学科 [3]南华大学附属南华医院,急危重症医学部

出　　处：《实用休克杂志（中英文）》2020年第5期298-302,共5页Journal of Practical Shock

基　　金：湖南省卫计生委科研计划课题项目(项目编号:B2017061)

摘　　要：电风暴是一种独特的医疗紧急情况,它引起机体大量分泌儿茶酚胺,从而导致恶性心律失常,表现为反复发生的室速或室颤,死亡风险大大增加,此时通常需要电复律及电除颤等紧急治疗。目前主要治疗措施包括病因治疗、电复律或电除颤、镇静、药物、植入式心脏复律除颤器、导管消融等。本文对电风暴的机制及当前治疗做一综述。Electrical storm is a unique medical emergency,which causes the body to secrete a large amount of catecholamine,which leads to malignant arrhythmia,manifested as repeated ventricular tachycardia or ventricular fibrillation,and the risk of death is greatly increased.At this time,emergency treatment such as cardioversion and defibrillation is usually needed.At present,the main treatment measures include etiological treatment,cardioversion or defibrillation,sedation,drugs,implantable cardioverter defibrillator,catheter ablation and so on.This paper reviews the mechanism and current treatment of electric storm.

关 键 词：电风暴 室性心动过速 心室颤动 

分 类 号：R541.7[医药卫生—心血管疾病]