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本组完全性房室传导阻滞(以下简称Ⅲ°AVB)患者中,男8例,女3例。最小19岁,最大61岁;其中41～56岁9例。首次发病者5例,发病二次者4例,三次以上者2例。单纯Ⅲ°AVB 7例,Ⅲ°AVB 并房颤2例,并室速1例,并尖端扭转型室速(以下简称尖扭)1例。本组病因:急性中毒4例(病毒感染1例,严重细菌感染和奎尼丁中毒各1例),冠心病5例,束支纤维化症2例。Ⅲ°AVB 处理时值得注意的几个问题一、尽快判断是急性或慢性,若是急性者经治疗后可以恢复。慢性者治疗后多不易完全恢复。急性者心率每分钟40次以上,不易发阿
This group of complete atrioventricular block (hereinafter referred to as Ⅲ ° AVB) patients, 8 males and 3 females. Minimum 19 years old, maximum 61 years; of which 41 to 56 years in 9 cases. The first incidence in 5 cases, the second incidence of 4 cases, more than three times in 2 cases. Only simple Ⅲ ° AVB in 7 cases, Ⅲ ° AVB and atrial fibrillation in 2 cases, and ventricular tachycardia in 1 case, and torsades de pointes ventricular tachycardia (hereinafter referred to as sharp torsion) in 1 case. The group of etiology: acute poisoning in 4 cases (1 case of viral infection, severe bacterial infection and quinidine poisoning in 1 case), coronary heart disease in 5 cases, 2 cases of bundle branch fibrosis. Ⅲ ° AVB treatment of several issues worth noting A judgment as soon as possible is acute or chronic, if the acute can be recovered after treatment. After chronic treatment more difficult to fully recover. Acute heart rate more than 40 times per minute, not easy to send Ah