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心脏骤停: —降低短期复苏成功率 1,2 —没有证据证明有近期或远期的疗效 2 心室颤动: —更高的心室停搏发生率 2,3 室性心动过速: —对于终止血流动力学稳定的持续室性心动过速无效 2,4,5 提高除颤阈 2,6-13 剂量不当可诱发持续性室速 14 1.Van Walraven C, Stiell IG, Wells GA, Hebert PC, Vandemheen K, the OTAC Study Group. Do advanced cardiac life support drugs increase resuscitation rates from inhospital cardiac arrest? Ann Emerg Med. 1998; 32: 544-553 室颤/无脉性室速 * 抗心律失常药首选可达龙 15.Dorian P, Cass D, Schwartz B, Cooper R, Gelaznikas R, Barr A.Amiodarone as compared with lidocaine for shock-resistant ventricular fibrillation. N Engl J Med 2002;346:884-90. 15.Dorian P, Cass D, Schwartz B, Cooper R, Gelaznikas R, Barr A.Amiodarone as compared with lidocaine for shock-resistant ventricular fibrillation. N Engl J Med 2002;346:884-90. 2.Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: Part 6 advanced cardiovascular life support: section 5- pharmacologyⅠ: Agents for Arrhythmias.Circulation.2000; 102(suppl-Ⅰ):Ⅰ148 -171. 13.Anastasiou Nana MI, Nanas JN, Nanas SN, Rapti A, Poyadjis A, Stathaki S, Moulopoulos SD. Effects of amiordarone on refractory ventricular fibrillation inacute myocardial infarction : experimental study. J Am Coll Cardiol. 1994; 23: 253 - 258 16.Kentsch M, Berkel H, Bleifeld W. Intravenose Amiodarone - Applikation bei herapierefraktarem Kammerflimmern. Intesivmedizin. 1988; 25: 70 - 74 2.Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: Part 6 advanced cardiovascular life support: section 5- pharmacologyⅠ: Agents for Arrhythmias. Circulation. 2000;102(suppl-Ⅰ):Ⅰ148 -171. 17.ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction-Executive Summary. Circulation. 2004;110:588-636 18.Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. Eur Heart J. 2005 Feb;26(4):384-416. 15.Dorian P, Cass D, Schwartz B, Cooper R, Gelaznikas R, Barr A.Am
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