心脏起搏患者QT间期延长伴扭转型室速的识别和处理  

DIAGNOSIS AND TREATMENT ON THE QT-INTERVAL PROLONGING WITH TORSADE DE POINTES IN THE PATIENTS IMPLANTED PACEMAKERS

作　　者：杨明智[1] 何志中[1] 赵文来[1] 

机构地区：[1]南京市胸科医院,南京210029

出　　处：《江苏临床医学杂志》2000年第4期269-271,共3页Journal of Jiangsu Clinical Medicine

摘　　要：探讨安置起搏器患者中发生QT间期延长伴尖端扭转型室速 (LPTs -TdP)的早期诊断和治疗。方法 :对本文报道的 6例患者进行综合分析其病因 ,机制 ,临床特点及心电图变化 ,结果 :被抢救的 6例患者 ,3例为典型性LPTs -TdP ,3例为非典型性LPTs-TdP ,6例中 5例抢救成功 ,1例失败。结论 :有晕厥发作史的起搏患者应警惕合并存在LQTs -TdP。Objective:To investigate the early diagnosis and treatment on the QT-interval prolonging with Torsade de pointes in the patients implanted pacemakers.Methods:Analying the causes,functions,clinical conditions and electrocardiogram changes for the 6 patients in the article. Results:3 cases typical and 3 cases no typical LQTs-TdP in 6 saved patients,5 cases of which were successful and 1 case failed. Conclusion:The patient implanted pacemaker with synocope episode should be warned having the LQTs-TdP.

关 键 词：心脏起搏 QT间期延长综合征 尖端扭转型室速 

分 类 号：R654.206[医药卫生—外科学] R541.7[医药卫生—临床医学]