阿斯氏综合征84例救治体会  

Treatment of 84 cases with Adams-Stoke syndrome

作　　者：沈心伟[1] 储慧民[1] 孙静[1] 余晶波[1] 李汉朝[1] 

机构地区：[1]浙江省宁波市第一医院,宁波315010

出　　处：《急诊医学》1999年第4期252-253,共2页

摘　　要：目的 :探讨阿斯氏综合征病人抢救治疗的经验教训。方法 :对 13年间住院的 84例阿斯氏综合征病人的临床资料进行回顾性研究。结果 :84例阿斯氏综合征病人抢救成功 6 8例( 81% ) ,自动出院 5例 ( 6 % ) ,死亡 11例 ( 13 % )。结论 :合理针对心律失常与原发病病因是救治阿斯氏综合征的关键。 1)电击除颤越早 ,复律成功率越高。 2 )永久起搏控制致命性缓慢心律失常效佳。 3)室速类型不同 ,相应处理方法亦各异。 4)大剂量皮质激素对三度房室传导阻滞明显有效。 5 )抗心律失常药致心律失常作用应重视。 6 )Objective:To discuss the treatment of patients with Adams-Stoke syndrome.Methods:The clinical data of 84 cases with Adams-Stoke syndrome admitted during the past 13 years were reviewed.Results:Sixty eight cases survived,5 cases were discharged against advice and 11 cases died.Conclusions:The key to treat Adams-Stoke syndrome is the prompt correction of arrythmia and the treatment of its underlying eliology.1)The earlier the defibrillation,the better the survival rate.2)The use of permanent pacemaker contributes better to control fatal brady arrythmia.3)Different treatments should be applied to different ventricular tachycardias.4)Large dosage of adreno cortical steroids is beneficial to the Ⅲ°AVB.5)More attention should be paid to the arrythmia resulting from anti-arrythmia drugs.6)Fatal arrythmia might be induced by certain clinical manipulation.

关 键 词：心律失常 救治 心源性昏厥 

分 类 号：R541.640.5[医药卫生—心血管疾病]