本文报告1981—1987年间用电复律法治疗房颤和房补62例次的即时疗效和随访结果。即时转复率87.10％,两周内复发率39.22％,窦律维持超过1年占25.49％者,超过2年者仅11.7 6％。冠心病房颤转复成功率低,复发率高,甚至有严重并发症。心脏瓣膜手术与否与转复率无关,但手术组窦律维持时间较长。在讨论中,作者在肯定电复律法应用价值的同时,对电复律的指征和病例选择问题发表了意见。 This article reports the immediate effect and follow-up results of 62 cases of atrial fibrillation and atrial remodeling treated by electrical cardioversion during 1981-1987. The real-time conversion rate was 87.10%. The recurrence rate was 39.22% within two weeks. The sinus rhythm maintained for 25.49% for more than one year and only 11.76% for more than 2 years. Coronary heart disease atrial fibrillation success rate is low, the recurrence rate is high, and even serious complications. Heart valve surgery or not and the conversion rate has nothing to do, but surgery group sinus rhythm to maintain a longer time. In the discussion, the author affirmed the application value of electropuncture, while commenting on the indications and case selection of electrocardiogram.