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报道成人病毒性心肌炎合并完全性房室阻滞(CAVB)33例的发生时间、人工起搏治疗和转归。2例系一过性CAVB,自行恢复窦性心律;其余31例均经皮穿刺作临时起搏,28例同时应用皮质激素。一周内恢复窦性心律者24例(72.73%)。2例出现CAVB的短暂复发,5例CAVB持续一个月以上而植入永久起搏器(VVI型)。2例(6.01%)死于心源性休克和左心衰竭。
Reported the incidence of adult viral myocarditis with complete atrioventricular block (CAVB) in 33 cases, artificial pacing therapy and outcome. 2 cases were transient CAVB, to restore sinus rhythm; the remaining 31 cases were percutaneous puncture for temporary pacing, 28 cases of simultaneous application of corticosteroids. 24 cases recovered sinus rhythm in one week (72.73%). Two patients experienced transient relapse of CAVB and five patients with permanent pacemaker (VVI type) after more than one month of CAVB. Two patients (6.01%) died of cardiogenic shock and left ventricular failure.