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医师进修杂志1986年第3期49页刊载;一、“下壁AMI并发AVB的治疗,特别是并发Ⅲ°AVB的治疗,在常规治疗基础上加用氟美松,必要时再加用阿托品”。作者认为,因下壁心肌梗塞急性期尤其老人易迷走神经兴奋,故易发生Ⅱ—Ⅲ°AVB。在AMI发病2小时内应首选阿托品,可避免室颤及心脏骤停的可能,其疗效优于他药。二、“下壁AMI出现Ⅲ°AVB时,不宜用异丙肾,利多卡因在控制严重快速室性心律失
MD, 1986, No. 3, 49, published in January 1986; 1, “the treatment of AVI inferior wall AMI complicated, especially in the treatment of Ⅲ ° AVB, in the conventional treatment based on the use of dexamethasone, if necessary, add atropine” . The authors believe that due to acute myocardial infarction in the elderly, especially the elderly easy vagus nerve excitability, it prone to Ⅱ-Ⅲ ° AVB. In the first 2 hours of onset of AMI should be the first choice of atropine, to avoid the possibility of ventricular fibrillation and cardiac arrest, the effect is better than his drug. Second, the lower wall AMI appear Ⅲ ° AVB, not with isoproterenol, lidocaine in the control of severe rapid ventricular arrhythmias