目的观察胺碘酮治疗充血性心力衰竭伴发室性心律失常的疗效。方法选择西安航天总医院自2005-09-2009-09收治的充血性心力衰竭并室性心律失常患者82例,患者均口服胺碘酮0.2 g,1次/8 h,1周后改为胺碘酮0.2 g,1次/12 h,再1周后改为胺碘酮0.2 g,1次/d,以后每日胺碘酮0.1~0.2 g,1次/d维持治疗。结果治疗8周后,显效32例,有效36例,无效10例,治疗总有效率82.93%。结论胺碘酮治疗充血性心力衰竭合并室性心律失常有效,治疗后心律失常明显减少,心功能明显改善。 Objective To observe the efficacy of amiodarone in the treatment of congestive heart failure with ventricular arrhythmia. Methods Eighty-two patients with congestive heart failure and ventricular arrhythmia admitted to Xi’an Aerospace General Hospital from 2005-09-2009-09 were enrolled. Amiodarone 0.2 g, once / 8 h, and then amine Iodine 0.2 g, 1/12 h, then 1 week later amiodarone 0.2 g, 1 / d, after daily amiodarone 0.1 ~ 0.2 g, 1 / d maintenance treatment. Results After 8 weeks of treatment, 32 cases were markedly effective, 36 cases were effective and 10 cases were ineffective. The total effective rate was 82.93%. Conclusions Amiodarone is effective in treating congestive heart failure with ventricular arrhythmia. After treatment, arrhythmia is obviously reduced and heart function is improved obviously.