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目的探讨胺碘酮在快速心律失常治疗中的应用效果。方法采用回顾性分析法对2012年1月至2015年12月本院收治的54例快速心律失常病人的临床资料进行分析,总结对其采取的胺碘酮治疗方法,评价胺碘酮治疗的效果。结果 28例房颤病人成功转复率为28.6%。16例室性心动过速病人中成功转复者共14例,无效者共2例,有效率高达87.5%。预激综合征伴房颤的6例病人全部成功转复为窦性心律,成功转复率高达100%。心房扑动的4例病人都没有成功转复,转复率为0。而宽QRS的心动过速病人中有两位病人成功转复为窦性心律的时间为胺碘酮静推量达到75mg后,另外两位宽QRS的心动过速病人当胺碘酮静推量达到165mg、200mg后几分钟转复成窦性心律。54例病人中未发生严重不良反应,不良反应经对症处理后均得到有效控制。结论在快速心律失常治疗中应用胺碘酮可以有效改善病人的临床症状,提高治疗效果,具有临床应用价值。
Objective To investigate the effect of amiodarone in the treatment of tachyarrhythmia. Methods The clinical data of 54 patients with tachyarrhythmia treated in our hospital from January 2012 to December 2015 were analyzed retrospectively. The amiodarone treatment was summarized and the effect of amiodarone treatment was evaluated . Results The success rate of 28 patients with atrial fibrillation was 28.6%. Of the 16 patients with ventricular tachycardia, 14 were successfully transfused, 2 were ineffective, and the effective rate was 87.5%. All 6 patients with Wolff-Parkinson-White syndrome and atrial fibrillation successfully converted to sinus rhythm, with a successful rate of 100%. Atrial flutter in 4 patients did not successfully recover, the recovery rate of 0. The wide QRS tachycardia in patients with two patients successfully converted to sinus rhythm for amiodarone intravenous push volume reached 75mg, the other two patients with QRS tachycardia intravenous amiodarone volume reached 165mg , 200mg after a few minutes into sinus rhythm. No serious adverse reactions occurred in 54 patients, and adverse reactions were effectively controlled after symptomatic treatment. Conclusion The application of amiodarone in the treatment of tachyarrhythmia can effectively improve the clinical symptoms of patients and improve the therapeutic effect, which has clinical value.