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Return of Spontaneous Circulation after Correction of Acidosis in Prolonged Cardiac Arrest: A Case Report

持久心跳停止患者矯正酸中毒之後恢復自發性脈搏:病例報告

摘要


我們報告一位47歲心臟移植之後再植入心臟去顫器的病患在醫院外心跳停止後到本院急診室急救。雖然給予基本救命術以及高級心臟救命術十八分鐘,仍然呈現心室纖維顫動,病患在急診室經救治沒有改善,最後給予六十八毫當量碳酸氫鈉靜脈注射,隨後發現恢復自發性脈搏。

並列摘要


A 47-year-old man presented to the emergency department with out-of-hospital cardiac arrest. The patient had a previous history of heart transplantation with implantable cardioverter defibrillator (ICD). Ventricular fibrillation persisted despite 18 minutes of standard advanced cardiac life support at the emergency department. He received intravenous administration of 68 meq sodium bicarbonate and subsequent return of spontaneous circulation was noted after correction of acidosis with sodium bicarbonate in prolonged cardiac arrest.

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