Lub hauv paus ntsiab lus ua haujlwm thiab cov tsos mob ntawm defibrillator
Kev siv hluav taws xob defibrillation thiab cardioversion yog tso cai rau qhov hluav taws xob siab heev, lub sijhawm luv luv, thiab cov dej ntws me me dhau los dhau los ntawm lub plawv fibrillating, yog li ntawd cov myocardial fibers tau tawg nyob rau tib lub sijhawm, thiab tom qab ntawd hloov pauv tib lub sijhawm, yog li raws li rov txhim kho kev sib koom tes thiab kev sib koom tes.
Ventricular fibrillation hais txog qhov tsis xwm yeem thiab tsis muaj kev cuam tshuam rau kev tshem tawm thiab kev cog lus ntawm cov nqaij myocardial. Lub tswv yim tseem tsis tau nkag siab tag nrho, thiab tej zaum yuav cuam tshuam nrog kev cuam tshuam kev tsim teeb meem lossis kev coj tsis ncaj ncees. Nws yog ib qho mob hnyav thiab ua rau tuag taus. Hypoxia, ischemia, acidosis, thiab electrolyte cuam tshuam tuaj yeem ua rau tag nrho qis dua qhov pib ntawm ventricular fibrillation.
Cov lus qhia rau defibrillator:
1. Ventricular fibrillation lossis ventricular flutter.
2. Ventricular tus nqi> 152 ntaus/min, ua rau muaj kev hloov pauv tseem ceeb ntawm hemodynamic, nrog rau mob myocardial infarction, poob siab, lub plawv tsis ua haujlwm, Al-Syndrome, thiab lwm yam, paroxysmal ventricular tachycardia uas tsis muaj txiaj ntsig hauv kev kho tshuaj.
3. Atrial fibrillation.
4. Cov neeg mob uas tseem muaj atrial fibrillation tom qab phais mob mitral valve ntau dua 2 lub lis piam.
5. Hyperthyroidism tau tswj los ntawm cov tshuaj tab sis tseem muaj atrial fibrillation.
6. Cov neeg mob atrial fibrillation tom qab rov zoo los ntawm myocarditis thiab pulmonary embolism.
7. Cov uas tau mob fibrillation tau ntev thiab nws lub plawv dhia nyuaj rau tswj nrog tshuaj.
8. Lub plawv tsis ua hauj lwm nrog tachycardia atrial fibrillation, nws lub plawv tsis yooj yim los tswj nrog tshuaj.
9. Lub sijhawm pib ntawm atrial fibrillation< 1="" xyoos="" (feem="" ntau="" 3-6="" lub="" hlis="" tshuav="" atrium="" puab="" txoj="" kab="" uas="">< 45="" posts="" 1,="" cardiothoracic="" piv="">
10. Pre-excitation syndrome nrog nquag atrial fibrillation, thiab kev kho tshuaj tsis muaj txiaj ntsig.
11. Atrial flutter yoj> 250 zaug 7 ntsiab lus, 1: 1 atrioventricular conduction thiab kev kho tshuaj tsis muaj txiaj ntsig.
12. Cov neeg mob nrog paroxysmal supraventricular tachycardia nrog kev hloov pauv hemodynamic uas tsis muaj txiaj ntsig hauv kev kho tshuaj.
13. Ua kom muaj kev nyuaj siab dhau los ntawm supraventricular tachycardia nrog kev sib txawv ntawm lub plawv, lossis supraventricular tachycardia nrog kev coj ua sib txawv, uas nws qhov nyuaj rau txiav txim ib ntus.
Cov kauj ruam Defibrillation:
1. Ntsuas tus neeg mob' hom ECG ua ntej defibrillation.
2. Txiav tawm AC zog thiab siv DC zog.
3. Tshaj tawm cov txheej txheem muab tshuaj txhuam tusyees rau ntawm daim hlau electrode ntawm ob sab, thiab tig rau lub tshuab ua kom lub tshuab defibrillation los xaiv lub zog.
4. Muab lub phaj electrode tso rau qhov chaw thiab ua kom nws muaj kev sib cuag nrog daim tawv nqaij.
5. Qhia lwm tus neeg ua haujlwm kom tawm ntawm lub txaj thiab tus neeg mob' nqes hav kom tiv thaiv hluav taws xob.
6. Nias lub" CHARGE" khawm kom them. Tom qab them tus nqi tau tshaj tawm, nias lub&"; DISCHARGE &"; khawm tso tawm nyob rau tib lub sijhawm ntawm ob sab, thiab txhais ceg defibrillation raug tso tawm kom ua tiav qhov hloov pauv hluav taws xob.
7. Tom qab tso tawm tas lawm, cov phaj hluav taws xob tseem tsis tuaj yeem tawm ntawm tus neeg mob&#daim tawv nqaij, thiab tus neeg mob' s ECG hloov pauv thaum lub sijhawm hloov pauv tag nrho tuaj yeem kaw tag nrho.
8. Tom qab defibrillation ua tiav, so lub phaj electrode, muab nws rov qab rau hauv qhov chaw, thiab tso lub zog xaiv lub pob hauv qhov chaw saib xyuas.
