反复应用改良Valsalva动作急诊转复阵发性室上性心动过速1例  

Emergency cardioversion of paroxysmal supraventricular tachycardia by repeated application of modified Valsalva manoeuvre:a case report

作　　者：李士华 赵志远 张颖 LI Shihua;ZHAO Zhiyuan;ZHANG Ying

机构地区：[1]解放军第960医院急诊科,济南250031

出　　处：《临床急诊杂志》2021年第1期70-71,共2页Journal of Clinical Emergency

摘　　要：阵发性室上性心动过速(paroxysmal supraventricular tachycardia,PSVT)是急诊科临床工作中最常见心律失常,应用标准Valsalva法紧急终止SVT的成功率低,大多数情况下使用胺碘酮、普罗帕酮、维拉帕米等药物治疗,见效慢,危险性大,副作用多。2015年Appelboam等[1]发现应用改良Valsalva动作组转窦率43.5%,标准Valsalva组转窦率仅为17.3%,两者具有显著性差异。笔者在急诊科抢救室两次应用改良Valsalva动作对同一患者成功转复窦性心律,现报道如下。We successfully restored sinus rhythm in a patient with paroxysmal supraventricular tachycardia by applying the modified Valsalva manoeuvre twice.It is simple,safe and effective to apply modified Valsalva manoeuvre to PSVT patients with stable hemodynamics in clinical practice.It needs to be widely promoted and applied.

关 键 词：改良Valsalva动作 阵发性室上性心动过速 

分 类 号：R512.8[医药卫生—内科学]