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本文报告我院1982～1984年发现的34例室性并行心律,着重讨论其中的特殊形式及合并心肌梗塞的临床意义,治疗及预后。本文共观察900例病人,其中室性并行心律34例占5.3%。34例中21例为器质性心脏病占62%,13例为不明显原因的占38%。本文观察典型的24例,4例并行性室性心动过速,6例特殊形式的包括3例间歇性,1例双灶性,1例房颤合并并行心律,1例单灶双频率性。本文认为并行心律不论发生在器质性心脏病或不明原因的,对一般治疗室性心律失常的药物均有效,近期及远期预后均良好。
This article reports 34 cases of ventricular arrhythmia found in our hospital from 1982 to 1984, focusing on the special form and the clinical significance, treatment and prognosis of myocardial infarction. This article observed a total of 900 patients, of which 34 cases of ventricular arrhythmia accounted for 5.3%. Twenty-one of the 34 patients had organic heart disease, accounting for 62%. Thirteen patients, 38%, had an unidentified cause. This article observed a typical 24 cases, 4 cases of parallel ventricular tachycardia, 6 cases of special forms, including 3 cases of intermittent, 1 case of bifocal, 1 case of atrial fibrillation with concurrent heart rhythm, 1 case of single dual-frequency. This article argues that concurrent heart rhythm, regardless of organic heart disease or unexplained, is generally effective in the treatment of ventricular arrhythmias and has good short-term and long-term prognosis.