高龄老年人外伤后出现快速心房颤动的复律

Reverting cardiac rhythm for rapid atrial fibrillation after trauma in the old of venerable age

目的阐述静脉推注胺碘酮转复高龄老年人外伤后出现快速性心房颤动的有效性和安全性。方法47例,其中男性28例,女性19例。外伤后3d内发生快速房颤的老年患者,年龄74～103岁,平均834岁,发作时心室率112～168次/min,平均138.93次/min,观察1h后,静推胺碘酮150～300mg,继以600ug/min静脉滴注维持24h。结果47例患者,33例在静推胺碘酮过程中及静推后30min内转复为窦性心律,14例在静推后3h内转复,并维持到观察结束,无1例出现低血压和心律失常等严重副作用。结论静推胺碘酮是转复高龄老年人外伤后快速房颤的一种快速安全有效且副作用少的方法。

Objective: To explain the effectivity and security with amiodaronum to revert cardiac rhythm for rapid atrial fibrillation after trauma in the old of venerable age. Methods: 47 cases, in it male 28 cases, female 19 cases, happened rapid atrial fibrillation in the 3 days after trauma. The Age of the cases were 74-103 years old, mean age was 83.4 years old. The ventricular rates were 112-168 times per minute,mean ventricular rates was 138.93 times/min.Equally observation was about one hour.Amiodaronum was used intravenously,first by slow intravenous injection for 150-300mg,then by phleboclysis with 600 μ g/min to maintain 24h.Results:In 47 cases,33 cases reverted sinus rhythm in 30 minutes after using amiodaronum, and 14 cases reverted sinus rhythm in 3 hours. None had appeared severe side effects such as hypopiesia and arhythmia Conclusions: It's a safety, utility and less side effect that amiodaronum is used by slow intravenous injection in reverting cardiac rhythm for rapid atrial fibrillation after trauma in the old of venerable age.