【摘要】 目的总结分析心脏直视手术后10例患者发生心室电风暴的病因及治疗方法。方法 10例患者24 h内发生室速/室颤2次以上,均给予电除颤、胸外心脏按压、胺碘胴/β受体阻滞剂等综合治疗。结果本组心脏手术围术期发生心室电风暴的死亡2例,1例择期置入ICD。结论心脏手术围术期应避免出现诱发心室电风暴的原因;心室电风暴在反复电复律时,应尽快使用胺碘酮,在无低心排表现时联合使用β受体阻滞剂,及时纠正各种诱因,维持电解质等内环境稳定,是治疗的重点。更多还原

【Abstract】 Objective To summarize and analyze the etiology and treatments of heart surgery perioperative combined with ventricular electrical storm. Methods A total of 10 patients with ≥2 attacks of ventricular tachycardia and fibrillation within 24 hours were treated with comprehensive therapies including electric defibrillation,external chest compression,and antiarrhythmic treatment with amiodarone / beta-blockers. Results During heart surgery perioperative combined with ventricular electrical storm 2 cases died,1 cases selective operation implant ICD. Conclusion During heart surgery perioperative should avoid incentives; Ventricular electrical storm in cardioerter repeatedly,should use of amiodarone as soon as possible,No low cardiac output syndrome happened should performance combination of beta blockers,timely corrective all kinds of incentive,stable electrolyte and so on environment is the key of the treatment.更多还原