心血管危重症继发交感风暴37例临床分析  

Ventricular Tachycardia Storm Secondary to Critical Cardiovascular Illness:Clinical Analysis of 37 Patients

作　　者：谢雷星[1] 牛敬雪[2] 李娟[1] 张波[1] 盖兢泾[1] 刘宏斌[1] 

机构地区：[1]中国人民解放军总医院心血管内科,北京100853 [2]北京协和医学院护理学院,北京100144

出　　处：《现代生物医学进展》2012年第6期1107-1109,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨心血管危重症继发交感风暴的病因分布特点和治疗方法。方法:回顾性分析我院2001年-2011年37例心血管危重症继发交感风暴临床资料。结果:37例心血管危重症继发交感风暴患者,其中男性22例,女性15例,年龄55-82岁,平均68.25岁。病因分布为:心肌梗死29例,心衰3例,扩张性心肌病2例,电解质紊乱2例,Brugada综合征1例。治疗方法包括β受体阻滞剂、胺碘酮、利多卡因、电除颤等。其中,17例因反复发作室颤,经抗心律失常药物和电除颤治疗无效死亡,余20例病情得到控制。结论:心血管危重症继发交感风暴临床病因多样,病情凶险,应用β受体阻滞剂及抗心律失常药物,同时积极针对病因及诱因治疗,可以改善临床症状和预后。Objective： To discuss the cause and therapeutic methods of ventricular tachycardia storm secondary to critical cardio-vascular illness.Methods： Clinical data about 37 patients with ventricular tachycardia storm secondary to critical cardiovascular illness admitted to our hospital from 2001 to 2011 were retrospectively analyzed.Results： 37 patients of ventricular tachycardia storm were invo-vled,of which 22 were males and 15 were females with a mean age of 68.25 years.Distribution of causes： myocardial infarction 29,heart failure in 3,2 cases of dilated cardiomyopathy,electrolyte imbalance in 2 cases,Brugada syndrome in 1.The treatment method includes beta blockers,amiodarone,lidocaine,electrical defibrillation,etc.Among them,17 cases were dead although anti-arrhythmic drugs and electrical defibrillation were used;other 20 cases were under control.Conclusion： Ventricular tachycardia storm secondary to critical car-diovascular illness is an extremely dangerous state.The application of beta blockers and anti-arrhythmic drugs,combining with positive treatment according to the causes and incentives,can significantly improve the clinical symptoms and prognosis.

关 键 词：心血管病学 心律失常 交感风暴 治疗 

分 类 号：R541.7[医药卫生—心血管疾病]