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本文报道1973～1983年间日本金泽大学医院手术根治160例预激综合征(WPW-S)的经验.方法:10年间共诊断192例WPW-S,其中32例未手术(3例在家中猝死).另160(男107、女53)例经手术治疗:年龄5个月～72岁,平均36岁;5～15岁儿童19例,4岁以下婴幼儿6例;其中单纯性WPW-S116例,WPW-S合并先天或后天性心脏病(包括Ebstein畸形19例)34例(同时施行纠治手术29例).常规心电图上delta波可高度准确地预示附加传导束的部位.术前进行电生理测试.术中作心外膜标测.1982年起采用带有6对双电极的心导管,先后置于左室、右室、左房或右房表面(与房室沟平行),同时测定6个点与右室参考电极或心电图导联之间的电位差,寻找预激区并缝线作标志,每次检查仅费时2～3分钟.单支附加传导束131(左心70、右心47、右间隔
This article reports the experience of 160 cases of WPW-S treated by surgery in Kanazawa University Hospital from 1973 to 1983. METHODS: A total of 192 cases of WPW-S were diagnosed in 10 years, of which 32 cases were not operated (3 cases were sudden death at home ) .Other 160 (male 107, female 53) were surgically treated: age 5 months to 72 years old, with an average of 36 years old; 5 to 15 years old children in 19 cases, infants under 4 years of age 6 cases; simple WPW-S116 For example, 34 cases of WPW-S complicated with congenital or acquired heart disease (including 19 cases of Ebstein’s malformation) (meanwhile, 29 cases underwent corrective surgery) .The delta wave on the conventional electrocardiogram can highly accurately predict the location of additional conduction beam Electrophysiological test. Intraoperative epicardial mapping .1982 with a pair of double-electrode catheter, has been placed in the left ventricle, right ventricular, left atrial or right atrial surface (parallel to the atrioventricular groove) Simultaneous determination of the potential difference between the 6 points and the right ventricular reference electrode or the ECG leads, looking for pre-excitation zone and suture for the logo, each examination takes only 2 to 3 minutes.A single additional conduction 131 (left heart 70 , Right heart 47, right interval