电风暴的发病机制及治疗进展  

Pathogenesis and treatment progress of electric storm

作　　者：乔鹏飞 陈安宝[1] 李芳[1] 文静[1] 孙圣杰 QIAO Pengfei;CHEN Anbao;LI Fang;WEN Jing;SUN Shengjie(The Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650000,China)

机构地区：[1]昆明医科大学第二附属医院,云南昆明650000

出　　处：《现代医药卫生》2023年第18期3162-3167,共6页Journal of Modern Medicine & Health

基　　金：昆明医科大学研究生创新基金项目(2022S252)。

摘　　要：电风暴(ES)是一种由发病机制复杂、多种病因引起需要紧急抢救的恶性心律失常,因其病情进展迅速、死亡率较高,临床救治和后续管理面临巨大挑战。目前,ES的主要治疗措施包括电除颤、药物治疗和非药物治疗。β受体阻滞剂在药物治疗中占有重要地位,尤其艾司洛尔和普萘洛尔均在临床试验中取得较好效果。在非药物治疗中,除已广泛使用的埋藏式心律转复除颤器(ICD)、导管消融等之外,围绕降低交感神经兴奋性的深度镇静、星状神经节阻滞麻醉及胸腔镜下交感神经切除术也受到越来越多的重视,成为下一步治疗的新方向。Electrical storm(ES)is a kind of malignant arrhythmia requiring emergency rescue caused by complex pathogenesis and various causes.Due to its rapid progression and high mortality rate,clinical treatment and follow-up management are facing great challenges.Currently,the main therapeutic measures for ES include electrical defibrillation,pharmacological treatment,and non-pharmacological treatment.βblockers play an important role in pharmacological treatment,especially because both esmolol and propranolol can achieve good results in clinical trials.In non-pharmacological treatment,in addition to the widely used implantable cardioverter defibrillator(ICD)and catheter ablation,deep sedation,stellate ganglion block anesthesia and thoracoscopic sympathectomy have also been paid more and more attention,and it has become a new direction for the next treatment.

关 键 词：电风暴 心律失常 综述 

分 类 号：R54[医药卫生—心血管疾病]