心脏电复律2.ppt

单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,Company Logo,*,单击此处编辑母版标题样式,心脏电复律,主讲人：王念,适 应 症,2,操 作 过 程,4,禁 忌 症,3,3,5,注 意 事 项,心脏电复律,定 义,3,1,Company Logo,定义：,是在,短时间内,向心脏通以高压强电流，使心肌,瞬间同时除极,，消除异位性快速心律失常，使之转复为窦性心律的方法,最早用于消除,心室颤动,，故亦称为心脏电除颤,心脏电复律,Company Logo,心脏电复律,适,应,症,绝对适应症,：,心室颤动,、,心房扑动,（非同步）,相对适应症,：,1.,心房颤动,和,扑动,（同步）,2.,阵发性室上速,、,室速,、,预激综合征伴快速心律失常者,（同步）,Company Logo,心脏电复律,禁,忌,症,心脏明显增大及心房内有新鲜血栓；近,3,个月有栓塞史,伴高度或完全房室传导阻滞的心房颤动或扑动,伴病态窦房结综合征的异位性快速心律失常,有洋地黄中毒、低血钾时，暂不宜电复律,Company Logo,心脏电复律的分类,非同步直流电复律,同步直流电复律,适应症,心室颤动,心室扑动,除心室颤动以外的快速型心律失常,特点,1.,病情紧急，意识丧失，立即除颤,2.,无心动周期，无,QRS,波,3.,争分夺秒,1.,一般为择期，可做好准备,2.,电流与,R,波同步,房颤、室上速：,100150J,房扑：,50100J,室速：,100200J,选择能量,200360J,Company Logo,Company Logo,物 品 准 备,除颤仪、导电糊、生理盐水、无菌纱布、氧气,地西泮,抢救设备及药品,Company Logo,复 律 中 配 合,平卧于绝缘的硬板床，松开衣领，取下义齿，建立静脉通道，给予氧气吸入,清洁电击处皮肤，链接心电导联,遵医嘱静脉推注地西泮,0.30.5mg/kg,，严密观察呼吸,Company Logo,复 律 中 配 合,连接电源，打开开关，选择,“,同步,”,或,“,非同步,”,按钮,能量选择,电极板均匀抹导电糊,电极板位置,Company Logo,电极板位置,心尖部,:,左腋前线内第,5,肋间,心底部,:,胸骨右缘第,23,肋间,Company Logo,复 律 中 配 合,充电,放电,记录,Company Logo,复律后注意事项,Company Logo,Diagram,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Title,Add your text,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Company Logo,Cycle Diagram,Text,Text,Text,Text,Text,Cycle name,Add Your Text,Company Logo,Diagram,Text,Text,Text,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Text,Text,Company Logo,Diagram,Concept,Add Your Text,Text,Text,Text,Text,Text,Text,Company Logo,Diagram,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Company Logo,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Diagram,Text,Text,Text,Company Logo,Table,Concept,Concept,concept,Concept,Company Logo,Diagram,Title,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Company Logo,Diagram,1,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,2,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,3,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Company Logo,Diagram,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,2001,2002,2003,2004,Company Logo,Block Diagram,心室颤动,TEXT,TEXT,Company Logo,Company Logo,Company Logo,Company Logo,Table,Title,Title,Title,Title,Title,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,X,O,X,O,Company Logo,Text1,Text2,Text3,Text4,Text5,3-D Pie Chart,Company Logo,Diagram,Add Your Title,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Company Logo,Thank You!,Add your company slogan,