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本文对244例心房纤颤,35例室上性心动过速和18例心房扑动用直流电击治疗。静注Diazepam麻醉后行电击治疗。70%的房颤,96%的阵发室上性心动过速和94%心房扑动均复转入窦性心律。190例患者随访,至少2年再出现心律不齐,疗效以甲亢为病原者最好,对缺血性或高血压心脏病和风湿性心脏病结果较差,电击成功率与心胸比例指数有关,心界增大者长期效果差。仅有一例心胸指数大于55%者,在2年内始终维持窦性心律,成功率和维持稳定窦性律与先前出现的心律紊乱持续时间的长短有关。直流电击对心房扑动好,很少运用于阵
In this paper, 244 cases of atrial fibrillation, 35 cases of supraventricular tachycardia and 18 cases of atrial flutter with DC shock treatment. Diazepam intravenous shock treatment. 70% of atrial fibrillation, 96% of paroxysmal supraventricular tachycardia and 94% of atrial flutter are complex into sinus rhythm. 190 patients were followed up for at least 2 years and then arrhythmia, the effect of hyperthyroidism as the best pathogen, ischemic or hypertensive heart disease and rheumatic heart disease results were poor, the success rate of electric shock and cardiothoracic ratio index, Increased long-term effect of poor heart. Only one patient with a cardiothoracic index greater than 55% sustained sinus rhythm within 2 years, and the success rate and maintenance of sinus rhythm were related to the duration of the previous arrhythmia. DC shock on the atrial flutter, rarely used in array