OUT-OF-HOSPITAL VENTRICULAR-FIBRILLATION IN CHILDREN AND ADOLESCENTS - CAUSES AND OUTCOMES

被引：172

作者：

MOGAYZEL, C ^{[1
]}

QUAN, L ^{[1
]}

GRAVES, JR ^{[1
]}

TIEDEMAN, D ^{[1
]}

FAHRENBRUCH, C ^{[1
]}

HERNDON, P ^{[1
]}

机构：

[1] UNIV WASHINGTON,SCH MED,DEPT PEDIAT,SEATTLE,WA 98195

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 25卷 / 04期

关键词：

D O I：

10.1016/S0196-0644(95)70263-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To compare causes and outcomes of patients younger than 20 years with an initial rhythm of ventricular fibrillation versus asystole and pulseless electrical activity. Design: Retrospective cohort study. Setting: Urban/suburban prehospital system. Participants: Pulseless, nonbreathing patients less than 20 years who underwent out-of-hospital resuscitation. Patients with lividity or rigor mortis or who were less than 6 months old and died of sudden infant death syndrome were excluded. Results: Ventricular fibrillation was the initial rhythm in 19% (29 of 157) of the cardiac arrests. Rhythm assessment was performed by the first responder in only 44% (69 of 157) of patients. All three rhythm groups were similar in age distribution, frequency of intubation (96%), and vascular access (92%); 93% of ventricular fibrillation patients were defibrillated. The causes of ventricular fibrillation were distributed evenly among medical illnesses, overdoses, drownings, and trauma; only two patients had congenital heart defects. Seventeen percent were discharged with no or mild disability, compared with 2% of asystole/pulseless electrical activity patients (P=.003). Conclusion: Ventricular fibrillation is not rare in child and adolescent prehospital cardiac arrest, and these patients have a better outcome than those with asystole or pulseless electrical activity. Earlier recognition and treatment of ventricular fibrillation might improve pediatric cardiac arrest survival rates.

引用

页码：484 / 491

页数：8

共 26 条

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