紧急体外电复律治疗室性心动过速的疗效和安全性  

The efficacy and safety of emergency extracorporal cardioversion in the treatment of ventricular tachycardia

作　　者：高毅滨[1] 李翔[1] 王斌[1] Gao Yibin;Li Xiang;Wang Bin(Department of Internal Medicine-Cardiovascular,the People’s Hospital of Luzhou City,Sichuan Province 646000)

机构地区：[1]四川省泸州市人民医院心内科,646000

出　　处：《中国社区医师》2016年第35期26-26,28,共2页Chinese Community Doctors

摘　　要：目的:探讨紧急体外电复律治疗室性心动过速的疗效及安全性。方法:收治室性心动过速并血流动力学不稳定患者22例,行紧急体外电复律,分析体外电复律前和电复律后12 h血清肌钙蛋白I的影响。结果:电复律成功率达100%,电复律后12 h与电复律前比较,c Tn I水平差异具有统计学意义(P<0.05)。结论:紧急体外电复律治疗室性心动过速,作用快、疗效好、简便和比较安全。体外电复律可致室性心动过速患者c Tn I升高,但c Tn I升高程度并不影响AMI的诊断。Objective:To investigate the efficacy and safety of emergency extracorporal cardioversion in the treatment ofventricular tachycardia.Methods:22 patients with ventricular tachycardia and hemodynamic instability were selected.They weregiven the extracorporal cardioversion treatment.We analyzed the effects of serum troponin I before vitro electrical rehabilitationand after 12 h of extracorporal cardioversion.Results:The successful rate of electrical recovery was 100% ,and the difference ofcTnI level before and 12 h after extracorporal cardioversion was statistically significant(P<0.05).Conclusion:Emergencyextracorporal cardioversion in the treatment of ventricular tachycardia has fast action,good curative effect,and that is simple andmore safe.Extracorporal cardioversion can lead to elevated cTnI in patients with ventricular tachycardia,but the level of cTnI doesnot affect the diagnosis of AMI.

关 键 词：电复律 心律 心动过速 

分 类 号：R541.71[医药卫生—心血管疾病]