摘要
目的观察胺碘酮在急诊快速型心律失常治疗中的应用效果,提高临床治疗水平。方法选取该院自2008年5月—2011年3月期间收治的76例快速型心律失常患者作为研究对象,均给予胺碘酮静脉滴注,静注负荷量为150mg(3～5mg/kg),10min注完,必要时10～15min后可重复1次,随后以1～1.5mg/min的速度静滴6h,并逐渐减量至0.5mg/min。总量不超过1.2g/d,最大可达2.2g/d。治疗期间观察患者的心电图、血压、心率变化情况,观察治疗效果及不良反应情况。结果该组76例患者完成治疗后有效71例,无效5例,总有效率为93.4%。治疗期间出现低血压2例,窦性心动过缓1例,无其他不良反应发生;治疗前后心率、血压及心电图变化显著,差异有统计学意义(P<0.01)。结论胺碘酮治疗急诊快速型心律失常效果理想,且安全性较高,值得推广。
Objective To observe the amiodarone in the emergency department fast type of the application of the arrhythmia management,improve the level of clinical treatment.Methods The hospital from May 2008 to March 2011 76 cases were fast rhythm of the heart wrong patients type as the research object,all give amiodarone intravenous drip,static note load for 150 mg（3～5 mg/kg）,10 min note over,when necessary after 10～15 min can repeat,then to 1～1.5 mg/min speed static drops 6 h,and gradually reduced to 0.5 mg/min.Total amount not more than 1.2 g /24 h,the biggest 2.2 g/24 h.During the treatment to observe patients electrocardiogram,blood pressure,and heart rate changes,the curative effect and adverse reaction.Results The 76 patients with complete treatment after 71 cases were effective,invalid in 5 patients,and the total effective rate was 93.4%.During treatment,2 cases occur hypotension,sinus bradycardia in 1,and no other adverse reaction;Before and after treatment for heart rate,blood pressure and ecg changes significantly（P 〈0.01）,has a statistical significance.Conclusion amiodarone emergency treatment of arrhythmia ideal effect quickly,and high security,popularization
出处
《中外医疗》
2012年第26期102-103,共2页
China & Foreign Medical Treatment
关键词
胺碘酮
快速型心律失常
急诊
疗效
Amiodarone
Type fast rhythm of the heart wrong
Emergency
Curative effect
