基层医院开展射频消融术治疗室上性心动过速21例体会  

The Experience of Radiofrequency Catheter Ablation in Treatment of Paroxysmal Supraventricular Tachycardia in Basic-level Hospital

作　　者：彭超[1] 王朝富[1] 田应英 杨茜[1] 吴立荣[2] 

机构地区：[1]贵州省兴义市人民医院,贵州兴义562400 [2]贵阳医学院附属医院

出　　处：《中国医学创新》2013年第18期125-127,共3页Medical Innovation of China

摘　　要：目的:通过总结本院射频消融术(RFCA)治疗阵发性室上性心动过速(PVST)21例的临床资料,探讨这一技术在基层医院开展的疗效及安全性。方法:回顾分析本院行射频消融术治疗阵发性室上性心动过速21例患者的临床资料。结果:房室结折返性心动过速(AVNRT)14例,房室折返性心动过速(AVRT)7例,手术未成功2例,并发急性心包填塞1例,成功率90.5%,并发症率4.8%,无复发病例。结论:射频消融术是根治阵发性室上性心动过速的一项有效、安全微创手术,可以在各级基层医院开展。Objective： To explore the clinical efficacy and safety of radiofrequency catheter ablation （ RFCA ） in treatment of paroxysmal supraventricular tachycardia （ PVST ） in basic-level hospital.Method： The clinical data of 21 patients with PVST treated by RFCA were retrospectively analyzed.Result： 14 cases were atrioventricular nodal reentry tachycardia （ AVNRT ）, 7 cases were atrioventricular reentrant tachycardia （ AVRT ）, 2 cases failed, 1 case complicated by acute tamponade.The operation success rate was 90.5%, occurrence of complication was 4.8%.No case relapsed. Conclusion： RFCA is a radical way for PVST and a safe and effective method with fewer trauma, it may be developed in basic-level hosnital.

关 键 词：射频消融术 阵发性室上性心动过速 基层医院 

分 类 号：R541.7[医药卫生—心血管疾病]