摘要
目的研究电风暴患者临床特点及其相关危险因素。方法选取2006年1月1日~2010年12月31日在解放军总医院住院,24h内因室性心动过速、心室颤动接受电除颤≥3次或置入型心律转复除颤器置入后放电次数≥3次患者81例,分析该人群血钾、血清钠、血清氯、血清镁、血清肌酐清除率、心脏功能、原发病因、患者除颤前治疗情况和抢救时用药情况。结果急性心肌梗死、陈旧性心肌梗死和心功能不全患者易发生电风暴,多数患者合并肾功能不全,低钾血症可能为电风暴的诱发因素。结论冠心病、心功能不全为电风暴患者的主要基础疾病。
Objective To clarify the clinical features and analyze the risk factors of Electrical Storm（ES）.Methods 81 cases were selected from patients who had been hospitalized from the beginning of 2006 to the end of 2010,suffered from 3 or more sustained episodes of ventricular tachycardia,ventricular fibrillation,or received appropriate shocks from an implantable cardioverterdefibrillator within 24 hours.The clinical features,electrolytes levels,etiological factors,management before the syndrome.Results The patients who referred acute myocardial infarction and previous myocardial infarction,as well as chronic heart failure were prone to get the ES.Hypokalemia could be another rick factor.Conclusions Coronary heart disease and chronic heart failure are the main reasons for ES.
出处
《中华保健医学杂志》
2013年第3期216-218,共3页
Chinese Journal of Health Care and Medicine
基金
遂行保健中重大心脑血管病事件应急处置和保障关键技术研究(2009BAI86B04)
关键词
电风暴
病因学
冠心病
Electrical storm
Etiology
Coronary heart disease
