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经静脉心导管电灼术,可以废除某些病例需要用心脏直视手术阻断其正常的房室传导①。对一些室性心动过速和予激综合征的病例,电灼术后亦获得良好的疗效。本文报道一例冠心病糖尿病并发病窦综合征及阵发性快速房颤房扑病例用房室结电灼除术改变了房室传导的功能,控制了阵发性快速心率。病例报道:王××,女,58岁,因三日来心悸胸闷于1986年4月5日入院。患者于入院前三日在某院发现有阵发性房性心动过速、心房颤动、心房扑动。静脉注射西地兰0、4mg后出现窦性心动过缓,窦房阻滞,窦性停搏,血压降低至60/40mmHg,如此心动过速(170±
The intravenous cardiac catheterization can be abolished in some cases need to use direct open heart surgery to block its normal atrioventricular conduction ①. For some cases of ventricular tachycardia and irritable syndrome, after electrocautery also received good results. This article reports a case of coronary heart disease and diabetes complicated with sinus syndrome and paroxysmal rapid atrial fibrillation room flutter with atrioventricular node burn change surgery to change the function of atrioventricular conduction and control of paroxysmal rapid heart rate. Case Report: Wang × ×, female, 58 years old, palpitations due to three days chest tightness in April 5, 1986 admission. Three days before admission in patients with a hospital found to have paroxysmal atrial tachycardia, atrial fibrillation, atrial flutter. Sinus bradycardia, sinoatrial block, sinus arrest, blood pressure decreased to 60/40 mmHg after intravenous injection of cedilanid (0,4 mg), so the tachycardia (170 ±