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目的分析血透患者透析过程中恶性心律失常的发生情况、可能诱因及处理措施,从而减少透析中猝死率。方法对血液透析室66例透析患者2 760例次血液透析过程进行回顾性观察分析。结果 2 760例次透析中89例次发生恶性心律失常,占3.22%。86例次经药物或(和)电转复治疗均有不同程度缓解,3例(3.37%)在透析室死亡。结论透析中发生恶性心律失常的原因是多方面的,给予消除诱因及抗心律失常治疗有效,其中静脉胺碘酮的应用显著的提高了救治成功率。
Objective To analyze the incidence of malignant arrhythmia during hemodialysis patients, possible causes and treatment measures, and to reduce the rate of sudden death in dialysis. Methods A retrospective analysis of 2760 hemodialysis patients was performed in 66 hemodialysis patients. Results A total of 89 cases of 2 760 dialysis cases had malignant arrhythmia, accounting for 3.22%. 86 cases were treated with drugs or (and) electroreduction were relieved to varying degrees, 3 patients (3.37%) died in the dialysis room. Conclusion The causes of malignant arrhythmia during dialysis are multifaceted, giving them elimination inducement and antiarrhythmic treatment. The application of intravenous amiodarone significantly improves the success rate of treatment.