射频消融术治疗左室特发性室速术中并发室颤的抢救与护理  

Resuscitation and nursing of idiopathic left ventricular tachycardia combined with ventricular fibrillation treated by radiofrequency ablation

作　　者：何英[1] 王玉如[1] 胡玉芳[1] 陈桂花[1] 周燕[1] 张凤祥[1] 杨兵[1] 陈明龙[1] 

机构地区：[1]南京医科大学第一附属医院心血管内科,江苏南京210029

出　　处：《实用临床医药杂志》2014年第14期10-12,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨左室特发性室速消融过程中出现心室颤动(室颤)的抢救与护理。方法在三维标测指导下,对左室特发性室速进行消融,标测与导管消融过程中准备好除颤仪、体外除颤电极片、简易呼吸机等急救设备。结果 5例在导管消融放电过程中出现室颤,立即予以电除颤与对症处理等措施,抢救成功。结论左室特发性室速消融术中,密切心电监护、充分的术前准备与积极的抢救与护理措施,是确保抢救成功的关键。Objective The explore resuscitation and nursing of ventricular fibrillation （VF）during the ablation of idiopathic left ventricular tachycardia （ILVT）.Methods Radiofre-quency ablation guided by 3-D mapping system treated for ILVT.During the procedure,the de-fibrillator,the patches and the ventilator should be prepared.Results VF happened in 5 patients during ablation,and the resuscitation was successful after defibrillation and countermeasures.Con-clusion electrocardiograph monitoring,fully preparation before operation,active resuscitation and nursing countermeasures are the key to the success during the radiofrequency ablation.

关 键 词：左室特发性室速 导管消融 心室颤动 除颤 护理 

分 类 号：R473.5[医药卫生—护理学]