摘要
目的 观察静脉胺碘酮转复 2 2例器质性心脏病患者急性发作快室率心房颤动的临床疗效和安全性。方法 先静脉注射胺碘酮负荷量 3mg/kg ,10～ 15min内注入 ,后以维持量 1 0～ 1 5mg/min静脉泵入 ,15～ 30min未转变的且室率仍快的患者追加一次胺碘酮 1 5mg/kg ,转复窦性心律后停用。结果 静脉负荷量内均未转复窦性心律 ,当累积量达 2 10～ 45 0mg 19例 (86 36 % )转复窦性心律 ,5 5 0～ 70 0mg3例 (13 6 3% )转复窦性心律。总有效率 10 0 %。结论 应用小于推荐剂量 (5mg/kg)
Objective To investigate the efficacy and safety of Amiodarone to convert acute AF in 22 patients with organic heart diseases. Methods Patients with organic heart disease received loading dose of Amiodarone 3 mg/kg intravenously within 10～15 minute and then maintenance dose of Amiodarone 1.0～1.5 mg/kg were administered intravenously till recovery of sinus rhythm. Conclusion No patient has converted to sinus rhythm with loading dose. 19 patients have converted to sinus rhythm with accumulating dose 210～450 mg and 3 patients with 550～700mg. The total effective rate was 100% and without adverse reaction.
出处
《岭南心血管病杂志》
2001年第3期183-184,共2页
South China Journal of Cardiovascular Diseases
关键词
急性心房颤动
静脉注射
转复
胺碘酮
Heart disease\ \ Atrial fibrillation acute Amiodarone
