恶性心律失常的急诊识别与处理 |
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引用本文: | 王松云,鲁志兵,余锂镭,黄兵,廖凯,萨仁高娃,阳康,江洪. 恶性心律失常的急诊识别与处理[J]. 心血管病学进展, 2014, 0(2): 186-190 |
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作者姓名: | 王松云 鲁志兵 余锂镭 黄兵 廖凯 萨仁高娃 阳康 江洪 |
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作者单位: | 武汉大学人民医院,湖北武汉430060 |
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基金项目: | 国家自然科学基金(81270339);市科技公关项目(2013060602010271);国家自然科学基金(81370281) |
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摘 要: | 恶性心律失常是心脏性猝死的主要原因,常可在短期内导致严重后果,应早期识别、早期处理。目前关于恶性心律失常的处理尚无完全统一的急诊处理规范,Trappe新提出的“5A”及“BCD”治疗策略覆盖了缓慢型及快速型恶性心律失常,是恶性心律失常急诊治疗的新概念、新方法。
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关 键 词: | 恶性心律失常 识别 处理 5A BCD |
Diagnosis and Management of Malignant Arrhythmia |
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Affiliation: | WANG Songyun, LU Zhibing, YU Lilei, HUANG Bing, LIAO Kai, SAREN Gaowa, YANG Kang, JIANG Hong ( Cardiovascular Department, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China) |
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Abstract: | Malignant arrhythmia is a cause of sudden cardiac death. Cases of malignant arrhythmia require swift treatment and man- agement. However, there is no consensus on the management of malignant arrhythmia. Trappe' s new concept of 5A ( adenosine, adrenaline, ajmaline, amiodarone, atropine) and BCD(B: beta-blockers, C: cardioversion, D: defibrillation), which covered the management of both bradyeardia and tachycardia arrhythmia, might become a substitute for the treatment of malignant arrhythmia. |
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Keywords: | malignant arrhythmia diagnosis management: 5A: BCD |
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