急诊PCI术中心室颤动的早期识别与抢救配合  

Ventricular fibrillation in primary PCI： early identification and cooperative rescue

作　　者：张彩英[1] 张彩芹[1] 孙宁[1] 郭莹[1] 朱中生[1] 

机构地区：[1]徐州市第一人民医院护理部,江苏徐州221002

出　　处：《徐州医学院学报》2015年第1期61-63,共3页Acta Academiae Medicinae Xuzhou

基　　金：徐州市科技计划项目（XZZD1382）

摘　　要：目的探讨急性心肌梗死患者行急诊经皮冠状动脉介入治疗（PCI）术中心室颤动（室颇）的早期识别和抢救配合方法。方法我院2012年6月-2013年12月收治的急性心肌梗死患者110例，均行急诊PCI，术中发生室颤8例，立即施行胸外按压、电除颤及静脉注射利多卡因、胺碘酮等抢救措施。结果8例患者均抢救成功，PCI手术顺利完成。结论早期识别异常心电图和动脉压力曲线以及时发现室颤，快速准确地使用除颤仪，有效配合抢救是保证手术成功的关键。Objective To investigate the early identification and cooperative rescue for patients suffering with ventricular fibrillation in acute percutaneous coronary intervention （PCI）. Methods A total of 110 patients admitted into our hospital from June 2012 to December 2013 due to acute myocardial infarction underwent primary PCI, in which ventricular fibrillation was seen in eight cases. Then, a series of rescue measures were taken including external chest compression, electric defibrillation and intravenous injection of lidocaine and amiodarone. Results The eight patients were successfully rescued, while their primary PCI were smoothly carried out. Conclusion Early identification of abnormal ECG and arterial pressure curve, prompt determination of ventrieular fibrillation, correct use of defibrilator and efficient resuce measures are the factors to guarantee sueessful surgerical practice.

关 键 词：急诊经皮冠状动脉介入治疗 室颤 抢救配合 

分 类 号：R473.5[医药卫生—护理学]