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本文报道对12例有室上速病史和2例无室上速病史患者采用食道心房调搏法诱发出PSVT,即时作出室上性心动过速的明确诊断,并采用超速抑制法、短串脉冲刺激法、程序早搏刺激法、亚速起搏法或采用两种刺激法使PSVT 立即终止,转复率为100%。其中6例根据能否诱发出室上速,作出药物对室上速的疗效评价。食道调搏法诊断室上速效果显著,优于心电图、动态心电图等,即使在非发作期也能通过诱发立即作出明确诊断;治疗室上速作用迅速,值得推广。
This article reports 12 cases of patients with supraventricular tachycardia history and 2 cases of non-ventricular tachycardia in patients with esophageal atrial pacing induced PSVT, immediate diagnosis of supraventricular tachycardia and the use of speeding suppression method, short pulse Stimulation, premature beat stimulation, sub-speed pacing or two stimulation methods immediately terminate the PSVT with a 100% recovery rate. Six of them were able to induce a supraventricular tachycardia based on their ability to induce a supraventricular tachycardia response. Esophageal pacing method of superior diagnostic accuracy of supraventricular tachycardia, better than electrocardiogram, Holter, etc., even in non-episodes of induction can be made immediately by a clear diagnosis; treatment of supraventricular tachycardia rapid role, it is worth promoting.