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过去十年,对心律失常的内科治疗已有明显发展。但是,即使有新的药物和不断革新的起搏技术,这些治疗方法有时也不见效或因副作用而不能使用。本文综述消除心律失常的外科手术,包括针对:(1)室上性和连接处性心动过速;(2)室性心律失常;和(3)预激综合征伴发心律失常。治疗措施包括去除心律失常的来源(局部切除或破坏)或改变其内在环境(调节自主神经系统,重新血管化等)。
Over the past decade, medical treatment of cardiac arrhythmias has evolved significantly. However, these treatments are sometimes ineffective or can not be used because of side effects, even with newer medicines and ever-changing pacing techniques. This article reviews the surgical procedures to eliminate arrhythmia, including: (1) supraventricular and junctional tachycardia; (2) ventricular arrhythmias; and (3) Wolff-Parkinson-White syndrome with arrhythmia. Treatments include removing the source of arrhythmia (local excision or destruction) or altering its internal environment (regulation of autonomic nervous system, revascularization, etc.).