经食管超声心动图在心房颤动早期复律中的作用  

The Use of Transesophageal Echocardiography to Guide Early Cardioversion in Patients with Atrial Fibrillation

作　　者：周斌全[1] 胡新央[1] 王建安[1] 何红[1] 冼棠超[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院心内科,浙江杭州310016

出　　处：《科技通报》2003年第6期488-490,共3页Bulletin of Science and Technology

摘　　要：目的　评价经食管超声心动图指导下行心房颤动(简称房颤,AF)早期复律方法的可行性与安全性.方法　对1994年11月至2002年9月拟行复律的120例AF患者的临床资料进行了回顾性分析,所有患者复律前均经食管超声心动图检查,未发现左房血栓者予以华法林抗凝及可达龙每日600mg治疗,一周后如未转为窦性心律则行同步直流电复律.结果　无一例发生明显的血栓栓塞并发症.开始治疗一周时AF转律的成功率为82.9%.结论　对国人AF患者行经食管超声心动图指导下的早期复律治疗可能是一种可行与安全的方法.To investigate the feasibility and safety of transesophageal echocardiography guided early cardioversion in patients with atrial fibrillation,120 patients with atrial fibrillation were received with transesophageal echocardiography guided early cardioversion. Patients without left atrium thrombus detected by transesophageal echocardiography were given amiodaron , then electrial cardioversion one week later if the sinus rhyrhm is not achieved. No one was complicated with embolic events. The successful rate of cardioversion at one week was 82.9%. It was concluded that transesophageal echocardiography guided early cardioversion in Chinese patients with atrial fibrillation may be feasible and safe to perform. 

关 键 词：内科学 心房颤动 复律 经食管超声心动图 

分 类 号：R540.45[医药卫生—心血管疾病]