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我院自1978年以来,用电起搏纠正恶性快速心律失常28例,均收到满意疗效,报道如下。临床资料本组28例,住院患者25例,急诊室患者3例。男10例,女18例,年龄27～78岁,平均50岁。主要疾病为冠心病21例(急性心肌梗塞15例),心肌病5例,心肌炎2例。心律失常类型:阵发性室速(包括扭转性室速)11例,室扑5例,室颤9例,房扑1例,房颤伴Ⅲ度房室传导阻滞2例。方法28例均经药物治疗及电复律无效后改用电起搏治疗。在荧光透视及心电监护下,经右大隐静脉(股静脉)、头静脉插入双极导管,电极置右心室肌
In our hospital since 1978, 28 patients with malignant tachyarrhythmia were treated with electrical pacing, and all received satisfactory results, which are reported as follows. Clinical data of the group of 28 cases, 25 cases of hospitalized patients, emergency room patients in 3 cases. 10 males and 18 females, aged 27 to 78 years old, average 50 years old. The main diseases were coronary heart disease in 21 cases (acute myocardial infarction in 15 cases), cardiomyopathy in 5 cases, myocarditis in 2 cases. Arrhythmia types: paroxysmal ventricular tachycardia (including torsades de pointes) in 11 cases, ventricular flutter in 5 cases, ventricular fibrillation in 9 cases, atrial flutter in 1 case, atrial fibrillation with Ⅲ degree atrioventricular block in 2 cases. Methods 28 cases were treated by electrical therapy and electrical cardioversion after switching to electrical pacing. Under fluoroscopic and ECG monitoring, the bipolar catheter was inserted into the right saphenous vein (femoral vein)