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采用以电除颤为主,对10例冠心病猝死的患者抢救成功。认为,成功的关键在于:及时发现,立即实行胸外心脏挤压和口对口人工呼吸;立即施行电除颤,300~350Ws效果较好;纠正代谢性酸中毒;呼吸复苏与消除脑水肿,必须与心脏复苏同时进行;合理地使用心脏兴奋剂、升血压药及抑制心肌应激性药物。
The use of defibrillation-based, 10 cases of sudden death in patients with coronary heart disease rescue success. It is believed that the key to success lies in the following: discovering and immediately implementing chest compressions and mouth-to-mouth resuscitation; immediate defibrillation, 300-350Ws is effective; correcting metabolic acidosis; respiratory resuscitation and brain edema elimination And heart recovery at the same time; the rational use of cardiac stimulants, blood pressure drugs and inhibit myocardial stress drugs.