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近年来,我们采用小剂量奎尼丁转复房颤取得较满意效果,现报告如下。对象 本组病例共34例次;男23例次,女11例次,年龄24～51岁。阵发性房颤23例,持续性房颤11例,均属中、快速型房颤。对于持续性房颤我们选择了心脏不大或轻度肥大,无明显并发症,房颤在半年以内的病例。病因依发病例数多少依次为特发性房颤、冠心病、心肌炎、风湿性心脏病。此组病例中,有16例是单用洋地黄转复失败者,7例曾用乙胺碘呋酮或静滴异搏定5～7天未能转复者。
In recent years, we use a small dose of quinidine to achieve more satisfactory results of atrial fibrillation, are as follows. Subjects in this group a total of 34 cases; 23 males and 11 females, aged 24 to 51 years. Paroxysmal atrial fibrillation in 23 cases, persistent atrial fibrillation in 11 cases, are medium and fast atrial fibrillation. For persistent atrial fibrillation we chose a small heart or mild hypertrophy, no significant complications, atrial fibrillation in less than six months. Etiology according to the number of cases the number of followed by idiopathic atrial fibrillation, coronary heart disease, myocarditis, rheumatic heart disease. In this group of patients, 16 patients with digitalis failed to return to failure alone, 7 patients had been using amiodarone or intravenous infusion of verapamil 5 to 7 days failed to transfer.