射频消融治疗阵发性室上性心动过速的体会  

The radiofrequency catheter ablation of paroxysmal superventricular tachycardia

作　　者：李科民[1] 王飞鸣[1] 王步群[1] 孙红军[1] 陈向民[1] 吕九华[1] 迮祖光[1] 杨雅[2] 

机构地区：[1]安徽省蚌埠市第一人民医院心内科,233000 [2]安徽省蚌埠市第一人民医院导管室,233000

出　　处：《淮海医药》2002年第2期93-94,共2页Journal of Huaihai Medicine

摘　　要：目的　研究射频消融术治疗阵发性室上性心动过速的有效性、安全性及如何最大程度降低并发症的发生。方法　室上性心动过速 32例 ,对其中房室折返性心动过速 17例 ,房室结折返性心动过速 14例进行消融 ,能量选择 2 0～ 4 0 W,消融前后分别进行电生理检查评价消融是否成功。结果　总成功率 96 .9% (31/ 32 ) ,无 1例发生气胸、血气胸、心包填塞、 °房室传导阻滞、室颤、动脉栓塞等严重并发症。结论　射频消融术是治疗阵发性室上性心动过速的一种根治性手术 ,疗效确切。术前充分准备 ,术中精细标测 ,细心轻巧操作 ,严格控制射频能量及时间 。Objective To study the clinical effect and safety of rediofrequency catheter ablation of paroxysmal superventricular tachycardia.Methods Thirty two patients with paroxysmal superventricular tachycardia were studied electrophysiologically and 31 patients of them including 17 patients with atrioventricular reentrant tachycardia and 14 patients with atrioventricular nodal reentrant tachycardia were treated with rediofrequency catheter ablation(radiofrequency energy 20～40 W).Results The total success rate was 96.9%(31/32),without severe complications such as pneumothorax,hemopneumothorax,paricardial tamponade,heart block,ventricular fibrillation,and artery embolism.Conclusion Radiofrequency catheter ablation is an effective and safe method for treatment of paroxysmal superventricular tachycardia.Enough preparation before ablation,accurate mapping,careful and skillful manipulation,and strict control of energy and time during ablation are the key factors to decrease the complications to a great extent.

关 键 词：心动过速 阵发性室上性心动过速 射频消融术 并发症 预防 

分 类 号：R541.71[医药卫生—心血管疾病]