職場自動體外心臟去顫器的使用經驗

An Using Experience of Automated External Defibrillator in Workplace

林旭華(Hsu-Hua Lin) ； 劉麗美(Li-Mei Liu) ； 羅錦泉(Jiin-Chyuan Luo)

《中華職業醫學雜誌》 22巻1期 (2015/01) Pp. 1-8

摘要

隨著國人生活水平的提高，對健康的逐漸重視，然而大多數人的生活圈一半時間在工作，職場中除了發生職業傷病外，心血管疾病高風險員工不少，從每年的員工健康檢查紀錄中分析，代謝症候群的比例高達15~20%左右。影響心臟病的危險因子如老化、吸菸、糖尿病、高血壓、肥胖、家族遺傳等。近年輪班制的研究顯示，大夜班的工作人員發生心臟血管疾病的機率比正常班工作人員高，加上工作精神壓力大容易促發或惡化心血管疾病發生。所以加強職場上的救護設備是雇主刻不容緩且責無旁貸的責任；許多廠房因為地處偏遠或廠區廣大緊急救護不易，但生死一瞬間，職場內更需有裝設AED的必要性。讓員工的生命安全更有保障。AED是專為非醫療人員設計用來急救猝死病患的儀器，是一種簡易可攜帶式的醫療設備。它可自行分析異常的心律不整（VT及VF）和提示使用者給予心臟電擊，俗稱為傻瓜電擊器。本文目的是從事16年的廠醫急救經驗分享，發現一般勞工的猝死，主要是因為心室纖維顫動，在到院前救護中，單靠心肺復甦術(CPR)是不夠的，這時候如果能夠配合自動體外心臟電擊器，勞工的救活機率將大為提升。

關鍵字

自動體外心臟電擊器 ； 心室纖維顫動 ； 心室頻脈

並列摘要

With the improvement of people's living standards, increasing emphasis on health, but nearly most people is dedicated to his job more than 12 hours. Not only occupational illness and injuries in the workplace, but also a lot of people at high risk of cardiovascular disease at work , employees from the annual health check record in the analysis, the ratio of the metabolic syndrome as high as 15 to 20 percent. The impact of heart disease risk factors such as age, smoking, diabetes, hypertension, obesity, family history and so on. Recent studies show a shift system, the probability of the occurrence of night shift workers cardiovascular disease than normal shift workers, plus the mental stress of work easily trigger or worsen cardiovascular disease. Therefore, strengthening the rescue equipment in the workplace and on the urgent responsibility is the duty of the employer; many rural plants or wide space plant that the majority of the emergency ambulance is unavailable to access immediately, but life must be saved in 3~5 minutes, it is crucial to be installed for more AED in the workplace. Make life more secure the safety of employees. AED is designed for non-medical service personnel to rescue victims due to Sudden Cardiac Arrest (SCA), this instrument is a simple, portable, medical equipment. It can analyze abnormal arrhythmias (VT and VF) and prompts the users to give themselves heart shock, commonly known as fool defibrillator. The purpose of this plant is engaged in 16 years of emergency medical experience to share, discover general labor sudden death, mainly because of ventricular fibrillation(VF), in the pre-hospital care, and rely on cardiopulmonary resuscitation (CPR) is not enough, this time if we can meet Automated External Defibrillator, the probability for workers’ lifesaving will be greatly improved.

並列關鍵字

Automated External Defibrillator (AED) ； ventricular fibrillation (VF) ； ventricular tachycardia (VT)