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本文总结587例心内直视手术病人心律失常的情况。患者年龄为4Φ56岁,男278例,女309例,用美国HP公司的心脏监护仪,标准Ⅱ导联持续监测心率和心律,发现心律失常时,即刻记录。结果显示病人入室后、转流前、转流后发生的心律失常以快速型为主,总发生率为36.1％;心律失常的发生率以风心病瓣膜置换术患者最高(63.4％);212例心律失常中以窦性心动过速(30.2％)、快室率房颤(27.8％)的发生率最高,其次为慢室率房颤(13.7％)。本文尚探讨了入室后、麻醉后和手术中心律失常的原因及处理。
This article summarizes the 587 patients undergoing open heart surgery arrhythmia. Patients aged 4Φ56 years, 278 cases of male and female 309 cases, with the United States HP’s heart monitor, standard Ⅱ lead continuous monitoring of heart rate and heart rate, arrhythmia found when the record. The results showed that after the patient entered the room, the arrhythmia occurred before and after the bypass was rapid type, with a total incidence of 36.1%; the incidence of arrhythmia was the highest (63.4%) with rheumatic valvular replacement; 212 cases Among the patients with arrhythmia, sinus tachycardia (30.2%) and fasting atrial fibrillation (27.8%) had the highest incidence, followed by slowing rate atrial fibrillation (13.7%). This article also explores the ventricle, anesthesia and surgery after the cause and treatment of arrhythmia.