阵发性室上性心动过速急诊治疗临床分析  

作　　者：叶茂[1] 王天勋 邓小军[1] 杨萍[1] 何运舫 王姝[1] 

机构地区：[1]广元市第一人民医院心内科,四川广元628017

出　　处：《中国卫生产业》2011年第11Z期17-18,共2页China Health Industry

摘　　要：目的探讨阵发性室上性心动过速的急诊治疗方法。方法以2009年1月至2011年6月期间本院收治的128例阵发性室上性心动过速的患者为研究对象,根据患者年龄、病情不同分ABCD4个治疗组,分别给予ATP、异搏定、心律平、西地兰治疗,观察4组患者的有效复律例数、复律时间、不良反应。结果 ATP的有效转复率为96.43%,无效率为3.57%,复律时间为0.31～1min;发生不良反应1例;异搏定组的有效转复率为91.43%,无效率为8.57%,复律时间为2.5～37min,未发生不良反应;心律平组的有效转复率为93.55%,无效率为6.45%,复律时间为1.8～32min,未发生不良反应;西地兰组的有效转复率为94.12%,无效率为5.88%,复律时间为35～115min,未发生不良反应;转复率ATP组最高,异搏定组最低,复律时间ATP组最短,西地兰组最长,仅ATP组发生1例,4组患者的有效转复率、平均复律时间、不良反应发生率之间无统计学差异。结论 ATP适用于年龄较小、血压低、无窦房结和传导系统病变、无哮喘病史的患者,起效较快;心律平和异搏定的使用禁忌证是年龄较大、心肌病变严重、心功能较差、逆传性房室折返性心动过速、严重心力衰竭、慢性阻塞性肺疾病、窦房结病变及心源性休克的患者,临床用药时注意避免;西地兰发挥作用时间较长,见效慢,适用于有心功能障碍但无预激综合征的患者。Objective To investigate the paroxysmal supraventricular tachycardia in the emergency treatment for heartbeat. Methods From January to 2011 in 2009 June during the hospital treated 128 cases of paroxysmal supraventricular tachyeardia patients heartbeat as the research object,according to the age of the patients,the condition of different ABCD four treatment groups,were given ATP,verapamil,propafenone,cedilanid treatment,observe four groups of patients the effective number of complex rules,time of eardioversion,adverse reaction.Results ATP effective cardioversion rate was 96.43%,no efficiency is 3.57%,the time of cardioversion is 0.31-1min;adverse reactions occurred in 1 patientslisoptin group effective cardioversion rate was 91.43%,na efficiency is 8.57%,the time of cardioversion is 2.5-37min,without the occurrence of adverse reactions of propafenone group：the effective transfer compound rate of 93.55%,an efficiency of 6.45%,the time of cardioversion is 1.8-32min,without the occurrence of adverse reactions;cedilanid group effective cardioversion rate was 94.12%,no efficiency is 5.88%,the time of cardioversion is 35-115min,without the occurrence of adverse reactionslcardioversion rate of ATP was the highest,isoptin group the lowest,the time of cardioversion of group ATP shortest,cedilanid group most long,only ATP group occurred in 1 cases,in four groups of patients with effective cardioversion rate,average time of cardioversion,the incidence of adverse reactions showed no significant difference between.Conclusion ATP applies to the age of small,low blood pressure,without sinus node and conduction system disease,without a history of asthma patients,fast effectual propafenone and verapamil use contraindications are older age,myocardial lesion severity,poor heart function,retrograde atrioventricnlar reentrant tachycardia heartbe^at,severe heart failure,chronic obstructive pulmonary disease,sinus node disease and patients with cardiogenic shock,clinical medication taken to avoid;cedilanid function for longer periods

关 键 词：阵发性室上性心动过速 急诊 治疗 

分 类 号：R259[医药卫生—中西医结合]