Page 69 - 消防月刊-107年6月號

搶救紀實
二、心律不整介紹

ːܛʔ዆ (Arrhythmia) ܸːᛔ೯͛ʔ Chest Pain)eᝨА׌ːᛔস။ (Congestive
͍੬ٙːܛdϾவʔ͍੬ːଟϞ̙ঐ݊᎖এ Heart Failuredᔊ၈ CHF)eЭАᏀא;д
(Tachycardia)eᇠএ (Bradycardia) א݊ʔ஝ ഃᘌࠠसًfːܛʔ዆̀඲ͭՍطᐕ٫dஷ

ۆːܛfːܛʔ዆̙ঐ݊΢၇ːᛔशषeᖹي ੬ܸ݊ΥԻϞ׼ᜑसًٙઋҖdطᐕ̍ў

Ъ͜eཥ༆ሯʔ̻ፅeʫʱؤशषഃഃٙԻ೯ ᖹيطᐕ (Medical Treatment)eཥᏘطᐕ Rescue Record
स ( νڌ 1)dɰ̙ঐ݊ːᛔືܛᓃאෂኬଡ଼ᔌ (Defibrillation) ʿɛʈືܛኜ (Pacemaker) ഃi
͉Ԓਪᕚהኬߧf ՉʕdཥᏘطᐕஷ੬ቇ͜׵᎖এΥԻᘌࠠस

ːܛʔ዆ٙᑗґڌତ͵̙ঐ͟ೌसًՑ ًdνʔᖢ֛ۨːรཀ஺٫dϾɛʈືܛኜஷ

ːઔ (Papitation) ഃჀฆसًdޟЇ׵ܢ׌ ੬ቇ͜׵ᇠএΥԻᘌࠠसًٙઋҖdνʔᖢ֛
จᗆً࿒ҷᜊeᘌࠠॹА׌঍೨ (Ischemia ۨːรཀᇠ٫f

ڌ 1 ̙ঐிϓːܛʔ዆ʘࡡΪ

ࡡ Ϊ ࡡ Ϊ

1 ڿًਗএशष 7 ЭАःא CO2 ཀε

2 ᜗૰ཀЭאЭА࢙׌;д 8 ़೨אೊᅇ

3 ᝨА׌ːস။ 9 ʔ຅Դ͜ᕄ᎑א௦ቑᖹيഃ

᜗૰ཥ༆ሯʔ̻ፅ ᖹيאيሯᅂᚤ
4 10
( ν : ЭАཏeЭАᒝഃ ) ( ν : դਥΪeৢၚe̵̚ɕഃ )

5 ʫʱؤʔ̻ፅ 11 ᜗ʫ Catecholamine ዢܓᄣ̋

6 ઻А׌;д 12 ွेʔԑၾᏀɢ

三、致命性心律不整介紹
ίၽᝄdӊϋ೯͛ᾄϥࡈࣩߒӊ 10 ຬɛ ӊַ፰ɓʱᙒٙ CPR ึԴઃ٫πݺଟɨࠥ 7 ä

Ϟ 52 ɛdࡡΪɽε݊ڢ̮ෆ׌Ϊ९הிϓd 10Ĉd຅ͦᏘ٫Ϟ݄Б CPR ࣛdπݺଟٙɨ
Չʕɦ˸ːܛʔ዆ (Arrhythmia) މ௰˴ࠅɽ ࠥึˢ༰࿔dɽߒӊʱᙒࠥ 3 ä 4ĈdٜՑක

֚fϾՑ৫ۃː༪৾˟ʕdೌএ׌ː܃ːรཀ ֐ཥᏘ̘ᛦf
஺ (pulseless VT) ၾː܃ᜄၪᛦਗ (VF) ̕ߒ ຅ڢᔼᚐɛࡰאᔼᚐɛࡰ࿁׵ཥᏘ / ̘ᛦ

11%fᐞ͍ːܛʔ዆௰Ϟࣖ˲Ҟ஺˙όމཥᏘ ண௪ʔᆞ઄ࣛdίஈଣ OHCA षઃࣛd̙΋Б
̘ᛦطᐕdฏϘ࿁ pulseless VT ၾ VF ઃ٫݄ Դ͜ AEDd߰षઃːܛᜑͪ pulseless VT א

Б̘ᛦdܢહϓ̌ଟฏ৷dШַ߰ᇠ 10 ʱᙒ VF ࣛdAED ึІਗкᛘၾཥᏘ̘ᛦf
˸ɪʑ݄Б̘ᛦஔdܢહϓ̌ଟึɽషࠥЭf

67
FIRE SAFETY MONTHLY 消防月刊