论文部分内容阅读
目的评价胸外直流电复律治疗异位性快速心律失常(包括心室纤顫)的效果及安全性。方法对近年来接受胸外直流电复律成功治疗的18例患者的临床资料进行回顾性分析。心室纤顫患者采用了即刻的非同步电击复律,其他快速心律失常患者在使用了2种以上抗心律失常药物无效后采用同步电击复律。结果 11例快速心律失常患者均1次电复律获得成功,7例表现为心脏骤停的心室纤颤患者5例1次复律成功,另2例患者分别为2次及3次复律成功。所有患者均未发生明显的电复律所致的损伤或栓塞事件。结论胸外直流电复律治疗异位性快速心律失常简便、快捷、安全、有效,且并不比药物治疗增加风险。
Objective To evaluate the efficacy and safety of chest radiofrequency cardioversion in the treatment of atopic rapid arrhythmias (including ventricular fibrillation). Methods The clinical data of 18 patients who underwent successful thoracic DC cardioversion in recent years were analyzed retrospectively. In patients with ventricular fibrillation, immediate non-synchronized cardioversion was used, and patients with other tachyarrhythmias received synchronized cardioversion after 2 or more antiarrhythmic drugs were discontinued. Results Eleven patients with tachyarrhythmia were successfully treated with primary electrocoagulation, seven patients with successful cardioversion in five patients with cardiac arrest and two patients with secondary cardioversion were successfully treated with three times cardioversion . All patients had no significant electrical cardioversion injury or embolization events. Conclusion The treatment of ectopic tachyarrhythmias by thoracic DC cardioversion is simple, quick, safe and effective, and does not increase the risk compared with medical treatment.