药物与非药物结合治疗快─慢综合征4例

TREATMENT OF 4 CASES OF TACHYCARDIA AND BRADYCARDIA SYNDROME BY COMBINATION OF MEDINCINE AND NONMEDICINE

本文对４例快─慢综合征患者进行了分析，其临床表现分别为：例１第三度房室传导阻滞伴心室扑动，例２预激综合征伴房颤、室颤，例３窦缓伴室速，例４房颤伴窦性静止。治疗方法分别采用：例１电去颤和起搏器，例２电去颤、扑罗帕酮和起搏器，例３奎尼丁和起搏器，例４硫氮酮和起搏器治疗，并取得了满意效果。因此，对此类病人的治疗提出建议：①应用药物治疗前应做起搏器和电去颤准备；②药物治疗效果不佳时可考虑非药物疗法；③严重心动过缓应首选起搏治疗。

Four cases of tachycardia and bradycardia syndrome were analyzed inthis article. The clinical manifestation of each case was observed. The first patientsuffering from third degree A V block accompanied by ventricle flutter was treatedwith electrical countershok and pacemaker.The second patient suffering from Wolff-parkinson-white syndrome accompanied by auricular or ventricular fibrillation wastreated electricle countershok,propafenone and pacemaker. The third patient sufferingfrom sinus bradycardia accompanid by ventricular tachycardia was treated withquindine and pacemaker.The fourth patient suffering from auricular fibrillationaccompanied by sinus arrest was treated with diltzem and pacemaker.Through thesetreatments,we got a satisfactory result;therefore when a patient with the tachycardiaand bradycardia syndrome is treated, the following suggestions are advisable:(1)should prepare pacemaker and electricle countershok before the medicine is used,(2)nonmedicine method should be considered if medicine give little effects, and(3)treatment with pacemaker should be considered first to the serious bradycardia.