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肾动脉去交感神经术治疗ICD术后电风暴患者的护理

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摘要 埋藏式自动复律除颤器（ICD）是目前治疗室性心动过速,预防心源性猝死的重要治疗方法[1]。ICD术后电风暴是指24h内发生≥3次的室性心动过速和/或心室颤动,引起严重血流动力学障碍,而造成ICD反复放电或电除颤等治疗的急性危重性症候群,可以造成患者的恐惧、疼痛、心肌损伤、心力衰竭、电池耗尽甚至恶化预后[2]。ICD术后电风暴的发生率10%-28%[2],临床治疗主要是去除诱因,改善心肌缺血,增加心肌收缩,纠正电解质紊乱,
作者 高媛 徐冬梅 周蓉芝 陈椿 单其俊
机构地区 南京医科大学第一附属医院心血管病科
出处 《江苏医药》 CAS 北大核心 2014年第16期1977-1978,共2页 Jiangsu Medical Journal
关键词 治疗方法 ICD 电风暴 患者 术后 埋藏式自动复律除颤器 去交感 肾动脉
分类号 R654.2 [医药卫生—外科学]
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参考文献6

  • 1Epstein AE,DiMarco JP,Ellenbogen KA,et al.2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society [J].J Am Coll Cardiol,2013,61(3):e6-e75.
  • 2卢转娣,张松文,吴继雄.电风暴的发生率和预后及治疗的研究进展[J].心血管病学进展,2012,33(5):654-657. 被引量：2
  • 3Nademanee K,Taylor R,Bailey WE,et al.Treating electrical storm:sympathetic blockade versus advanced cardiac life support-guided therapy [J].Circulation,2000,102(7):742-747.
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  • 6Tsuji Y,Heijman J,Nattel S,et al.Electrical storm:recent pathophysiological insights and therapeutic consequences[J].Basic Res Cardiol,2013,108(2):336.

二级参考文献23

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江苏医药
2014年 第16期

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