摘要
目的探讨快速恶性室性心律失常的常见病因、诱因及处理。方法对本院近年来收治的28例快速恶性室性心律失常患者进行病因、诱因分析,心律失常类型判断,并积极采用相应药物及直流电复律等治疗。结果快速恶性室性心律失常以冠心病、急性心肌梗死、扩张型心肌病、高心病多见。急性肌缺血、电解质紊乱为最常见诱因。Q-T间期正常的快速恶性室性心律失常直流电复律效果良好,而Q-T间期延长的常需大剂量补钾、镁及异丙肾上腺素等治疗。结论快速恶性室性心律失常的治疗应提高警惕,针对不同病因、诱因、心律失常类型积极采用药物及直流电复律治疗。
Objective To discuss the common causes,inducements and therapies of acute vicious ventricular arrhythmia. Methods Twenty-eight vicious ventricular arrhythmia patients of Bishan County People＇s Hospital in recent years were studied by analyzing the causes, judging the types of arrhythmia, adopting the relevant medication and the electric cardioversion, etc. Results Acute vicious ventricular arrhythmia usually appeared as coronary heart disease, acute miocardial infarction, expanded cardiomyopathy and hypertensive heart disease. The acute lack of blood and turbulence of electrolytes were the most ordinary inducements. The electric cardioversion was effective to acute vicious ventricular arrhythmia with normal Q-T interphase, but for the prolonged Q-T interphase, a large dosage of potassium,magnesium and isoproterenol were needed. Conclusion For various vicious ventricular arrhythrajas, it is essential to judge the types and finding the possible causes and inducements. Then, the relevant medication or the electric cardioversion and other emergency treatments should be adopted according to different types.
出处
《重庆医学》
CAS
CSCD
2007年第13期1308-1309,共2页
Chongqing medicine
关键词
恶性心律失常
病因
治疗
vicious ventricular arrhythmias
causes
cure
