本文报告用经食道快速心房起搏治疗室上性心律失常9例。8例室上性心动过速有7例即刻复律,其中1例转变为房颤后于翌日复律;1例房颤亦能立即复律。说明经食道快速心房起搏是治疗室上性心动过速,简单、安全、有效的治疗方法。尤其适用于洋地黄化合并室上性心动过速患者,因为这些患者用直流电转复会诱发室颤的危险。 This article reports the use of transesophageal rapid atrial pacing in the treatment of supraventricular arrhythmias in 9 patients. Eight cases of supraventricular tachycardia with cardioversion in seven cases, of which 1 case converted to AF after cardioversion the next day; one case of atrial fibrillation can be immediate cardioversion. Fast transesophageal atrial pacing is the treatment of supraventricular tachycardia, simple, safe and effective treatment. It is especially suitable for patients with digitalis with supraventricular tachycardia as these patients are at increased risk of ventricular fibrillation with DC.