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我院近三年来应用三磷酸腺苷(ATP)静脉注射转复成人阵发性室上性心动过速(PSTV)60例(76例次),现报道如下:临床资科一、病例选择:60例均系门诊或急诊病例,男28例,女32例。年龄18~76岁(平均47±12岁)。病因:冠心病8例,预激综合征6例,高血压病5例,病毒性心肌炎3例,病因不明38例。60例共发作76例次,包括发作4次者1例,3次者3例,2次者7例。发作至就诊时间(1/2)h~20h,多数1~2h。所有病例均经心电图证实。二、治疗方法:所有病例均使用上海第十制药厂生产的ATP 二钠盐(每安瓿20mg/2ml)首剂量20mg,不加稀释,于5秒钟内快速静
In our hospital for the past three years, the application of adenosine triphosphate (ATP) intravenous injection of adult paroxysmal supraventricular tachycardia (PSTV) in 60 cases (76 cases), are reported as follows: First, the clinical data, the choice of cases: 60 cases were Department of outpatient or emergency cases, 28 males and 32 females. Age 18 to 76 years (mean 47 ± 12 years). Etiology: 8 cases of coronary heart disease, pre-excitation syndrome in 6 cases, 5 cases of hypertension, viral myocarditis in 3 cases, 38 cases of unknown etiology. A total of 60 cases of 60 cases, including episodes of 4 times in 1 case, 3 times in 3 cases, 2 times in 7 cases. Attack to treatment time (1/2) h ~ 20h, most of 1 ~ 2h. All cases were confirmed by ECG. Second, the treatment: All cases were used in the Shanghai Pharmaceutical Factory production of the first 10 ATP disodium salt (each ampoule 20mg / 2ml) the first dose of 20mg, without dilution, fast static within 5 seconds