恶性心律失常的急救临床分析

Clinical analysis of emergency treatment of malignant arrhythmia

目的探讨恶性心律失常临床救治中相关问题的分析，进而为临床提供参考。方法回顾分析我院2003年1月-2012年1月收治的337例恶性心律失常患者的急救情况，总结心肺复苏和药物治疗的经验。结果249例抢救成功，88例死亡，经复苏成功患者，心率有所改善（P〈0．01）。结论发生恶性心律失常导致心源性猝死的主要病因是冠心病，而恶性心律失常急救的关键是动态心电监护、及时电除颤、心肺复苏、规范使用抗心律失常药物。

Objective To explore relevant problems in the emergency treatment of malignant arrhythmia in order to provide reference for clinical practice. Methods The emergency situation of 337 patients with malignant arrhythmia admitted to our hospital from January 2003 to January 2012 was analyzed retrospectively and the experience of cardiopulmonary resuscitation and drug treatment was summarized. Results 249 patients were successfully rescued and 88 patients died. The heart rate of the patients successfully resuscitated improved （P 〈 0.01）. Conclusion The main pathogen of malignant arrhythmia induced sudden cardiac death is coronary heart disease and the key to successful emergency treatment of malignant arrhythmia is dynamic ECG monitoring,timely defibrillation,cardiopulmonary resuscitation and standardized use of anti-arrhythmic drugs.