摘要
本文介绍了42例室性心动过速的临床资料和特点,讨论了早期后除极与室性心动过速的关系,并探讨各型室速的治疗。
Forty-two patients with ventricular tachycardia (VT) with perfect clinical data admitted from 1976 to 1987 were analysed. The commonest cause in this group of Vt was coronary heart disease (42.8%). The precipitating factors of VT were heart failiure, coronary ischemia and severe hypokalemia. Of the 32 cases first receiving lidocaine combined with potassium chloride, 24 cases were successfully controlled, 8 cases were falied. Among the 8 cases, 3 were cured with electrical cardioversion, 5 died of ventricular fibrillation. Another 7 cases were cured with mexiletine, propranolol and potassium chloride. Two cases of torsades pointes were cured with isoprenaline. Another one was cured with lidocaine. 2b cases recovered from VT had been followed up for 3-11 years. The results of survival and mortalith in this group were 50% respectively. The prognosis of VT in organic heart diseases was poor. However the functional heart disorders were quite optimistic.
出处
《湖南医科大学学报》
CSCD
1989年第3期274-276,共3页
Bulletin of Hunan Medical University
关键词
心动过速
低血钾
利多卡因
心室
tachycardia
heart ventricle
lidocaine
hypokalemia
trigger activity
therapeutic use
