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快速抗心律失常药治疗阵发性室上性心动过速42例分析 被引量:1

42 Cases of Paroxysmal Supraventricular Tachycardia Treated with Anti-tachyarrhythmia Drugs
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摘要 目的:总结快速抗心律失常药治疗陈发性室上性心动过速(PSVT)的经验。方法:回顾性总结分析大理州中医院2000年8月至2010年7月收治的42例PSVT患者的临床资料。结果:异搏定组10例,有效9例,不良反应3例、有效率90%;心律平组12例,有效12例,不良反应2例,有效率100%;ATP组6例,有效6例,不良反应1例,有效率100%;西地兰组6例,有效5例,不良反应0例,有效率83.33%;乙胺碘呋酮组8例,有效7例,不良反应2例,有效率87.5%。结论:在严格掌握适应症和禁忌症的情况下选择合适的抗心律失常药治疗PSVT,可大大提高转复率,减少不良反应发生率,降低医疗风险。 Objective:To discuss the experience of paroxysmal supraventricular tachycardia(PSVT) treated with anti-tachyarrhythmia drugs in Dali Traditional Chinese Medicine Hospital.Method: Retrospective analysis was conducted on 42 cases of PSVT from August 2000 to July 2010 in our hospital.Results: Five anti-tachyarrhythmia drugs were applied in 42 cases of PSVT according to each indication.There were 10 cases in Verapamil group,effective in 9 cases,3 cases of adverse reactions,total efficiency was 90%;12 cases in propafenone group,effective in all 12 cases,2 cases of adverse reactions,total efficiency was 100%;among the 6 cases in ATP group,6 were effective,1 had adverse reaction,and the total efficiency was 100%;among the 6 cases in cedilanid group,5 were effective with non adverse reaction observed,and its total efficiency was 83.33%;among the 8 cases in amiodarone group,7 were effective,2 had adverse reactions,and its total efficiency was 87.5%.Conclusion: Under strict indications and contraindications,anti-arrhythmic drug selection in PSVT therapy is most important;it can greatly improve the terminating rate of PSVT,and reduce the incidence of adverse reactions and clinical risks.
机构地区 大理州中医医院
出处 《大理学院学报(综合版)》 CAS 2011年第8期34-36,共3页 Journal of Dali University
关键词 快速抗心律失常药 阵发性室上速 anti-tachyarrhythmia drugs paroxysmal supraventricular tachycardia
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