Electrical cardioversion efficacy of treatment of ventricular tachycardia.docVIP

 PAGE \* MERGEFORMAT 8 Electrical cardioversion efficacy of treatment of ventricular tachycardia [Keywords:] electrical switch complex tachycardia rhythm ‘Electrical cardioversion treatment of ventricular tachycardia’ was considered the safest, most effective, even necessary, emergency treatment measures. From January 2007 to December 2008, the author electrical cardioversion for treatment of 12 cases of ventricular tachycardia in patients with satisfactory outcome, the report is as follows: 1 Data and methods 1.1 General information on this group a total of 12 cases, 9 males and 3 females; aged 48-71 years, mean 59.3 years of age. All 12 patients had ventricular tachycardia, in which the basis of lesion: 5 cases of coronary heart disease, coronary heart disease with pulmonary heart disease in 3 cases, complicated with heart disease in 3 cases, rheumatic heart disease in 1 case, all patients to be the first interim ‘triethylamine iodine furosemide ketone ‘(Domestic) 150mg intravenous injection of a total of two null and void, and then to be’ Amiodarone ‘(made) a total of 1200mg continuous intravenous infusion, failed to turn complex ventricular tachycardia, but decided to use direct current shock cardioversion . 1.2 Defibrillator Philips M3860A Defibrillator / Monitor. 1.3 Operation Methods (1) good preoperative preparation, prepare a variety of rescue equipment and medicines. (2) the patient supine on wooden bed, open venous channel, fully exposed the chest wall. (3) to make routine electrocardiogram before surgery. After completion of ECG records of the lead line to lift from the ECG machine, ECG machine to avoid damage to electrical shock. (4) to connect defibrillator wires, connected to the power, check the synchronization performance. (5) Select a high R-wave lead to oscillographic observation. Required anesthesia, intravenous injection of diazepam used as a narcotic commonly used dose of 10 ~ 40mg. Slow injection of diazepam to be injected when the