论文部分内容阅读
自1984年以来,我们应用三磷酸腺苷(ATP)静脉注射转复阵发性室上性心动过速(PSVT)18例,结果转复迅速,疗效确切,副作用小。现报告如下: 一、病例选择和临床资料选自门诊和住院PSVT患者18例,男11例,女7例;年龄为18～62岁,平均为37岁。本组患者均有反复发作史,发作时经心电图证实PSVT。其中诊断冠心病7例、高血压性心脏病3例、风湿性心脏病(二尖瓣狭窄及关闭不全)1例、预激综合征1例,余皆无器质性心脏病的证据。二、治疗方法在心电图监护下,ATP20mg+阿托品0.5mg用葡萄糖液稀释成5ml混合静脉注射,注射速度均为5秒钟。本组18例全部于静注10～30秒内转为窦性心律。在转为窦性心律前均可见短暂窦性停搏,交界区或室性
Since 1984, we applied adenosine triphosphate (ATP) intravenous injection of paroxysmal supraventricular tachycardia (PSVT) in 18 cases, the rapid recovery, the exact effect, side effects. The report is as follows: First, the case selection and clinical data selected from outpatient and inpatient PSVT 18 patients, 11 males and 7 females; aged 18 to 62 years, with an average of 37 years. This group of patients have recurrent seizures, episodes confirmed by electrocardiogram PSVT. Among them, 7 cases were diagnosed as coronary heart disease, 3 cases were hypertensive heart disease, 1 case was rheumatic heart disease (mitral stenosis and insufficiency), and 1 case was pre-excitation syndrome. There was no evidence of organic heart disease. Second, the treatment of ECG monitoring, ATP20mg + atropine 0.5mg diluted with glucose solution into 5ml mixed intravenous injection, injection speed is 5 seconds. All 18 patients in this group were converted to sinus rhythm within 10-30 seconds of intravenous injection. Before the conversion to sinus rhythm can be seen short sinus arrest, junctional or ventricular