一位62歲的女性(xing)患(huan)者，日(ri)前因冠心(xin)病發(fa)作(zuo)而心(xin)跳驟停。經氣管插(cha)管和大能(neng)量電擊(ji)除(chu)顫(zhan)，心(xin)肺復(fu)蘇成功。此(ci)刻，由浙江大學醫(yi)學院附屬第(di)二醫(yi)院心(xin)內科單江教授主持的醫(yi)療(liao)小組給病人植入(ru)了自動心(xin)內除(chu)顫(zhan)器（ICD），使患(huan)者恢(hui)復(fu)了正常生(sheng)活和工作(zuo)。
單江(jiang)教授主持的(de)(de)醫療研究(jiu)小組(zu)從1994年(nian)起開(kai)展將ICD應用于臨床的(de)(de)研究(jiu)。由美國科學家研制并自80年(nian)代(dai)開(kai)始(shi)應用于臨床的(de)(de)自動除顫(zhan)(zhan)系(xi)統，在初始(shi)植(zhi)入時需開(kai)胸(xiong)將除顫(zhan)(zhan)電極(ji)縫(feng)至心外膜上，手(shou)術創(chuang)傷大，并發癥(zheng)較多。到(dao)90年(nian)代(dai)，經靜脈非開(kai)胸(xiong)植(zhi)入的(de)(de)ICD系(xi)統得(de)到(dao)了迅(xun)速發展，特別是第(di)三(san)代(dai)ICD，應用雙(shuang)相(xiang)除顫(zhan)(zhan)脈沖技術，提高了除顫(zhan)(zhan)的(de)(de)成功率。
單(dan)江教授(shou)等研究人(ren)(ren)員采用(yong)非開(kai)胸(xiong)方式在病(bing)人(ren)(ren)的(de)胸(xiong)大(da)肌(ji)和(he)胸(xiong)小肌(ji)之間埋藏(zang)自動心內(nei)除顫器。一(yi)旦心跳發生(sheng)驟停(ting)，機器能在10秒(miao)鐘內(nei)識別驟停(ting)的(de)發生(sheng)，并立即按(an)醫生(sheng)預置的(de)指令(ling)釋放電能量，使心臟恢復(fu)跳動，從而避免病(bing)人(ren)(ren)意外死(si)亡。經研究人(ren)(ren)員對已(yi)應用(yong)埋藏(zang)式自動除顫器的(de)4名患者5個月至5年的(de)隨訪表明，這種方法能有效地(di)治療(liao)致(zhi)死(si)性室性心律失常(chang)。
這(zhe)項已(yi)經(jing)(jing)被(bei)證實能(neng)有(you)(you)(you)(you)效防止院(yuan)外(wai)心(xin)源性(xing)猝死(si)的(de)(de)(de)(de)(de)發(fa)(fa)(fa)(fa)生(sheng)。icd（埋(mai)藏(zang)式心(xin)律轉復除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)）已(yi)經(jing)(jing)被(bei)證實能(neng)有(you)(you)(you)(you)效的(de)(de)(de)(de)(de)防止院(yuan)外(wai)心(xin)源性(xing)猝死(si)的(de)(de)(de)(de)(de)發(fa)(fa)(fa)(fa)生(sheng)。icd的(de)(de)(de)(de)(de)發(fa)(fa)(fa)(fa)明和(he)應(ying)用(yong)(yong)于(yu)臨(lin)床(chuang)(chuang)針對(dui)惡性(xing)心(xin)律失常的(de)(de)(de)(de)(de)治(zhi)療(liao)提供了(le)一個確實有(you)(you)(you)(you)效的(de)(de)(de)(de)(de)治(zhi)療(liao)方法(fa)，icd植(zhi)(zhi)入(ru)(ru)技術(shu)(shu)已(yi)越來(lai)越多(duo)(duo)的(de)(de)(de)(de)(de)被(bei)臨(lin)床(chuang)(chuang)應(ying)用(yong)(yong)。經(jing)(jing)靜(jing)(jing)脈(mo)(mo)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)導(dao)線(xian)(xian)(xian)植(zhi)(zhi)入(ru)(ru)：1994年以(yi)(yi)來(lai)，經(jing)(jing)靜(jing)(jing)脈(mo)(mo)單(dan)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)系(xi)(xi)統(tong)開始在(zai)臨(lin)床(chuang)(chuang)應(ying)用(yong)(yong)。目前(qian)(qian)(qian)臨(lin)床(chuang)(chuang)上(shang)(shang)應(ying)用(yong)(yong)的(de)(de)(de)(de)(de)非(fei)開胸(xiong)(xiong)(xiong)植(zhi)(zhi)入(ru)(ru)icd系(xi)(xi)統(tong)根(gen)據(ju)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)構(gou)成(cheng)(cheng)大(da)(da)致可(ke)(ke)分為(wei)兩(liang)類：1、以(yi)(yi)心(xin)內線(xian)(xian)(xian)圈(quan)(quan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)為(wei)主的(de)(de)(de)(de)(de)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)系(xi)(xi)統(tong)： 雖然(ran)各(ge)個廠(chang)家設(she)計有(you)(you)(you)(you)所不同(tong)，但(dan)(dan)是(shi)右(you)心(xin)室(shi)的(de)(de)(de)(de)(de)三極(ji)(ji)(ji)(ji)(ji)(ji)(ji)感(gan)知(zhi)和(he)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)基(ji)本(ben)相(xiang)同(tong)，經(jing)(jing)靜(jing)(jing)脈(mo)(mo)植(zhi)(zhi)入(ru)(ru)的(de)(de)(de)(de)(de)心(xin)內膜(mo)三極(ji)(ji)(ji)(ji)(ji)(ji)(ji)感(gan)知(zhi)和(he)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)，在(zai)此(ci)之后(hou)(hou)為(wei)一用(yong)(yong)于(yu)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)的(de)(de)(de)(de)(de)線(xian)(xian)(xian)圈(quan)(quan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)。此(ci)線(xian)(xian)(xian)圈(quan)(quan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)需要與(yu)另(ling)一電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)構(gou)成(cheng)(cheng)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)路。這(zhe)些系(xi)(xi)統(tong)在(zai)臨(lin)床(chuang)(chuang)應(ying)用(yong)(yong)時(shi)，大(da)(da)多(duo)(duo)數患者(zhe)(zhe)可(ke)(ke)得到滿(man)意(yi)(yi)的(de)(de)(de)(de)(de)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)效果(guo)，但(dan)(dan)是(shi)仍然(ran)有(you)(you)(you)(you)小部分的(de)(de)(de)(de)(de)患者(zhe)(zhe)不能(neng)得到滿(man)意(yi)(yi)的(de)(de)(de)(de)(de)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)，而(er)改用(yong)(yong)其他非(fei)開胸(xiong)(xiong)(xiong)icd系(xi)(xi)統(tong)或開胸(xiong)(xiong)(xiong)植(zhi)(zhi)入(ru)(ru)icd系(xi)(xi)統(tong)。2、單(dan)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)系(xi)(xi)統(tong)：單(dan)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)系(xi)(xi)統(tong)是(shi)指除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)外(wai)殼本(ben)身(shen)作(zuo)為(wei)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)的(de)(de)(de)(de)(de)一個電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)，與(yu)心(xin)內的(de)(de)(de)(de)(de)線(xian)(xian)(xian)圈(quan)(quan)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)構(gou)成(cheng)(cheng)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)路。該系(xi)(xi)統(tong)具有(you)(you)(you)(you)以(yi)(yi)下(xia)(xia)(xia)(xia)(xia)特(te)點(dian)：① 手術(shu)(shu)操(cao)作(zuo)進(jin)(jin)一步(bu)(bu)簡化，只需要經(jing)(jing)筋脈(mo)(mo)植(zhi)(zhi)入(ru)(ru)一根(gen)三極(ji)(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)感(gan)知(zhi)與(yu)出產電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)，將除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)直接埋(mai)于(yu)左(zuo)胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)的(de)(de)(de)(de)(de)皮下(xia)(xia)(xia)(xia)(xia)或胸(xiong)(xiong)(xiong)肌下(xia)(xia)(xia)(xia)(xia)，由右(you)心(xin)室(shi)的(de)(de)(de)(de)(de)線(xian)(xian)(xian)圈(quan)(quan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)與(yu)左(zuo)胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)的(de)(de)(de)(de)(de)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)外(wai)殼構(gou)成(cheng)(cheng)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)路；② 除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)低(di)，因為(wei)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)外(wai)殼作(zuo)為(wei)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)，大(da)(da)大(da)(da)增加(jia)了(le)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)的(de)(de)(de)(de)(de)面(mian)積，從(cong)而(er)進(jin)(jin)一步(bu)(bu)有(you)(you)(you)(you)效地降低(di)了(le)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)。除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)測(ce)試(shi)：當感(gan)知(zhi)和(he)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)導(dao)線(xian)(xian)(xian)固定后(hou)(hou)，電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)與(yu)體外(wai)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)測(ce)試(shi)系(xi)(xi)統(tong)連(lian)接進(jin)(jin)行(xing)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)值(zhi)得測(ce)定。進(jin)(jin)行(xing)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)測(ce)定時(shi)，首先需要誘(you)(you)發(fa)(fa)(fa)(fa)心(xin)室(shi)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)動。室(shi)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)的(de)(de)(de)(de)(de)誘(you)(you)發(fa)(fa)(fa)(fa)方法(fa)有(you)(you)(you)(you)兩(liang)種(zhong)：一種(zhong)為(wei)t波電(dian)(dian)(dian)(dian)(dian)擊(ji)(ji)，即(ji)在(zai)t波易損期上(shang)(shang)低(di)能(neng)量(liang)電(dian)(dian)(dian)(dian)(dian)擊(ji)(ji)誘(you)(you)發(fa)(fa)(fa)(fa)室(shi)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)，另(ling)一種(zhong)就是(shi)為(wei)50hz交流電(dian)(dian)(dian)(dian)(dian)刺激，兩(liang)種(zhong)方法(fa)均(jun)能(neng)非(fei)常有(you)(you)(you)(you)效地誘(you)(you)發(fa)(fa)(fa)(fa)出室(shi)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)。 雖然(ran)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)的(de)(de)(de)(de)(de)標準(zhun)各(ge)不相(xiang)同(tong)，但(dan)(dan)是(shi)大(da)(da)多(duo)(duo)數醫院(yuan)采用(yong)(yong)連(lian)續(xu)兩(liang)次20 j 或以(yi)(yi)下(xia)(xia)(xia)(xia)(xia)的(de)(de)(de)(de)(de)能(neng)量(liang)有(you)(you)(you)(you)效除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)作(zuo)為(wei)成(cheng)(cheng)功(gong)標準(zhun)，即(ji)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)閾(yu)值(zhi)等于(yu)或低(di)于(yu) 20 j，才可(ke)(ke)考慮電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)與(yu)脈(mo)(mo)沖發(fa)(fa)(fa)(fa)生(sheng)器(qi)(qi)(qi)連(lian)續(xu)，并將脈(mo)(mo)沖發(fa)(fa)(fa)(fa)生(sheng)器(qi)(qi)(qi)植(zhi)(zhi)入(ru)(ru)。完成(cheng)(cheng)閾(yu)值(zhi)測(ce)定后(hou)(hou)，將脈(mo)(mo)沖發(fa)(fa)(fa)(fa)生(sheng)器(qi)(qi)(qi)與(yu)電(dian)(dian)(dian)(dian)(dian)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)連(lian)接，誘(you)(you)發(fa)(fa)(fa)(fa)室(shi)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)，檢驗(yan)整個icd系(xi)(xi)統(tong)感(gan)知(zhi)心(xin)律失常和(he)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)功(gong)能(neng)及(ji)效果(guo)。除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)的(de)(de)(de)(de)(de)植(zhi)(zhi)入(ru)(ru)：目前(qian)(qian)(qian)臨(lin)床(chuang)(chuang)上(shang)(shang)普遍應(ying)用(yong)(yong)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)均(jun)埋(mai)藏(zang)于(yu)患者(zhe)(zhe)胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)，作(zuo)為(wei)單(dan)極(ji)(ji)(ji)(ji)(ji)(ji)(ji)除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)系(xi)(xi)統(tong)的(de)(de)(de)(de)(de)一個極(ji)(ji)(ji)(ji)(ji)(ji)(ji)，除(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)(chu)顫(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)(zhan)器(qi)(qi)(qi)必須埋(mai)藏(zang)在(zai)左(zuo)胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)。icd胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)植(zhi)(zhi)入(ru)(ru)可(ke)(ke)埋(mai)于(yu)肌肉下(xia)(xia)(xia)(xia)(xia)囊袋或皮下(xia)(xia)(xia)(xia)(xia)囊袋，視患者(zhe)(zhe)胸(xiong)(xiong)(xiong)前(qian)(qian)(qian)的(de)(de)(de)(de)(de)皮下(xia)(xia)(xia)(xia)(xia)組織而(er)定，若患者(zhe)(zhe)較(jiao)瘦，皮下(xia)(xia)(xia)(xia)(xia)脂肪(fang)少，可(ke)(ke)將icd埋(mai)于(yu)肌肉下(xia)(xia)(xia)(xia)(xia)，對(dui)于(yu)皮下(xia)(xia)(xia)(xia)(xia)脂肪(fang)較(jiao)多(duo)(duo)的(de)(de)(de)(de)(de)患者(zhe)(zhe)，可(ke)(ke)將icd埋(mai)于(yu)皮下(xia)(xia)(xia)(xia)(xia)囊袋。
發(fa)生(sheng)猝(cu)死(si)前很(hen)難(nan)做(zuo)到自救，如(ru)(ru)(ru)(ru)果有猝(cu)死(si)的(de)先(xian)兆(zhao)(zhao)癥(zheng)狀(zhuang)，比(bi)(bi)如(ru)(ru)(ru)(ru)胸(xiong)悶(men)(men)、胸(xiong)痛、氣(qi)短(duan)，要(yao)(yao)(yao)立即停(ting)止手中(zhong)的(de)工作或者運動，口(kou)服速效救心(xin)(xin)(xin)(xin)丸或者舌下含(han)服硝酸甘油片。如(ru)(ru)(ru)(ru)果癥(zheng)狀(zhuang)緩解，考慮(lv)心(xin)(xin)(xin)(xin)臟方面(mian)的(de)因(yin)素，比(bi)(bi)如(ru)(ru)(ru)(ru)心(xin)(xin)(xin)(xin)絞痛、心(xin)(xin)(xin)(xin)肌梗死(si)，應上正規醫院(yuan)進行(xing)(xing)(xing)心(xin)(xin)(xin)(xin)臟方面(mian)的(de)檢(jian)查(cha)。如(ru)(ru)(ru)(ru)果出現(xian)(xian)肢體(ti)麻木、手腳活動不利(li)，可(ke)能有腦血(xue)(xue)栓(shuan)、腦出血(xue)(xue)的(de)情(qing)(qing)況(kuang)，要(yao)(yao)(yao)去正規醫院(yuan)進行(xing)(xing)(xing)診斷治療，不要(yao)(yao)(yao)在緩解以后不當一(yi)回(hui)事。平時也(ye)不要(yao)(yao)(yao)過度疲(pi)勞，現(xian)(xian)在有很(hen)多(duo)(duo)過度疲(pi)勞猝(cu)死(si)的(de)例子，鍛煉后或者生(sheng)氣(qi)、著(zhu)急(ji)、情(qing)(qing)緒激動等情(qing)(qing)況(kuang)下出現(xian)(xian)胸(xiong)悶(men)(men)、氣(qi)促、心(xin)(xin)(xin)(xin)慌等癥(zheng)狀(zhuang)，而且長(chang)時間(jian)(jian)休息無(wu)法恢(hui)復，很(hen)有可(ke)能是(shi)冠心(xin)(xin)(xin)(xin)病(bing)心(xin)(xin)(xin)(xin)肌缺血(xue)(xue)的(de)先(xian)兆(zhao)(zhao)。偶爾胸(xiong)悶(men)(men)或者在夜晚(wan)睡覺的(de)時候胸(xiong)悶(men)(men)加重，甚(shen)至(zhi)呼吸困難(nan)，長(chang)時間(jian)(jian)不能緩解，可(ke)能是(shi)心(xin)(xin)(xin)(xin)衰的(de)征兆(zhao)(zhao)。出現(xian)(xian)上面(mian)這些情(qing)(qing)況(kuang)要(yao)(yao)(yao)趕緊打(da)急(ji)救電話，請(qing)專業(ye)人(ren)士(shi)救急(ji)，并(bing)送往醫療機構就診。如(ru)(ru)(ru)(ru)果莫名心(xin)(xin)(xin)(xin)慌，要(yao)(yao)(yao)保(bao)持(chi)警惕(ti)，多(duo)(duo)觀察，最(zui)好去醫院(yuan)進行(xing)(xing)(xing)檢(jian)查(cha)。暈厥(jue)(jue)也(ye)是(shi)猝(cu)死(si)最(zui)重要(yao)(yao)(yao)的(de)征兆(zhao)(zhao)，心(xin)(xin)(xin)(xin)率減慢或完全停(ting)止，從而導致大腦供血(xue)(xue)不足而缺氧引發(fa)暈厥(jue)(jue)，很(hen)多(duo)(duo)人(ren)暈厥(jue)(jue)持(chi)續幾秒就會自行(xing)(xing)(xing)恢(hui)復，如(ru)(ru)(ru)(ru)果不能恢(hui)復就會引發(fa)猝(cu)死(si)。一(yi)旦出現(xian)(xian)暈厥(jue)(jue)的(de)癥(zheng)狀(zhuang)，一(yi)定要(yao)(yao)(yao)查(cha)明原因(yin)，防(fang)患于(yu)未(wei)然。
安裝ICD（植入式心律轉復除顫器）和患者能活多久沒有必然的聯系，而且ICD能夠在關鍵時刻挽救患者生命。ICD（植入式心律轉復除顫器）是一種能識別并及時終止惡性室性心律失常的電子裝置，它能夠針對多種心律失常發放不同的治療，包括抗心動過速起搏、低能量電轉復、高能量電擊除顫及抗心動過緩起搏等治療功能。ICD能夠在發生心臟驟停時及時除顫，對預防心臟性猝死起到重要作用。有數據統計，ICD可以顯著降低心臟性猝死的發生率和死亡率，使心臟性猝死風險減少80%。
所以，對于經發生過心臟驟停的患者、器質性心臟病合并有持續性室性心動過速患者、有心衰癥狀合并心功能低下患者、有嚴重心律失常并有心臟驟停家族史的患者來說，選擇安裝ICD（植入式心律轉復除顫器）是預防猝死最有效的選擇。
患者的壽命跟自身(shen)身(shen)體(ti)狀況(kuang)和疾(ji)病發展情況(kuang)有關，在疾(ji)病早期能(neng)夠(gou)及(ji)時到醫(yi)院(yuan)就診(zhen)，并(bing)及(ji)早選擇適當的治療方式，對于提(ti)高疾(ji)病治愈(yu)率和延長患者生命具有更為重要(yao)的作(zuo)用。
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