射频消融治疗快速心律失常并发症的发生及防治  

Prevention and treatment of complication of radiofrequency ablation

作　　者：邓锐[1] 

机构地区：[1]四川省人民医院心内二科,四川成都610072

出　　处：《西部医学》2007年第3期368-369,共2页Medical Journal of West China

摘　　要：目的探讨快速心律失常经导管射频消融治疗过程中的并发症及预防。方法在DSA下经导管射频消融治疗450例快速心律失常。其中左侧旁道205例,右侧旁道153例,房室结双径路67例,房扑15例,房速10例。结果射频消融治疗450例患者中发生并发症17例,发生率为3.78%（1.76%-5.54%）。其中Ⅱ度房室传导阻滞4例,发生率0.89%;迷走神经反射5例,发生率1.11%;局部血肿3例,发生率0.67%;气胸1例,发生率0.22%;心前区疼痛4例,发生率0.89%。结论严格操作规程,术中术后认真监护,密切观察并发症,采取相应的处理及预防措施,能使并发症降到最低程度。射频消融治疗心律失常是安全有效的方法。Objective To explore the prevention and treatment strategy for postoperative complications of radiofrequency ablation in arrhythmia patients. Methods We reviewed 450 patients with fast arrhythmia received radiofrequeney ablation treatment. In this series, arrhythmia originated from left byway was in 205 patients, right byway in 153 patients, dual A-V nodal pathways in 67 patients, atrial flutter in 15 patients, and atrial tachycardia in 10 patients. Results Among the patients who received radiofrequency ablation treatment, 17 cases （3.78%） had complications, in which, second degree atrioventricular block was inflicted in 4 patients （0. 89%）, vagus nerve reflection in 5 patients （1.11%）,puncture site bleeding in 3 patients （0. 67%）, pneumothorax in 1 patient （0. 22%）, and thoracic pain in 4 patients （0. 89%）. Conclusions Strict regulations on manipulation, effective nursing care during and after operation, closely monitoring and timely management on complications are essential to minimize complications and raise operative successful rates. Radiofrequency ablation is generally regarded as an effective protocol for treating arrhythmia.

关 键 词：快速心律失常 射频消融 并发症 防治 

分 类 号：R541.7[医药卫生—心血管疾病]