静脉推注三磷酸腺苷治疗阵发性室上性心动过速32例次分析

Clinical Analysis of the Therapeutic Effects of ATP Injected Intravenously to 26 Cases 32 Times of ParoxysmalSupraventricular Tachycardia

以三磷酸腺苷（ＡＴＰ）２０ｍｇ＋５％ＧＳ５ｍｌ，快速静脉注射（５～１０ｓ钟推完）治疗阵发性室上性心动过速，共２６例３２次。其中冠心病４例；预激症候群３例；风湿心２例；先天心２例；肺部感染１例；无明显器质性心脏病１４例。因此法引起一些瞬时副反应，后改为ＡＴＰ２０ｍｇ＋Ａｔｒｏｐｉｎ０．５ｍｇ＋＋５０％ＧＳ５ｍｌ静注。结果２９例次有效，有效率为９０．６２％，治疗结果表明，ＡＴＰ治疗阵发性室上性心动过速为一作用快、疗效高、操作简便的方法之一。

Abstract A rapid inthevenous injection of 20mg ATP +5ml 5% GS was used to treat patients with paroxysmal sopraventricalar tachycardia. A total of 26 cases 32 times were studied. They were:4 cases of coronary heart disease, 3 cases of wolff -- parkinson -- white syndrome , 2 cases of rheumatic heart disease, 1 case of pulmonary infection and 14 cases of heart without detected organic lesion. However, due to the usnsient side--effects encountered, it was changed to an intravenous injection of 20 mg ATP+0.5mg Atropin+ 5 ml 5% GS as the results showed that, 29 cases were found had therapeutic values. In treating patiends with paroxysmal supraventricular tachycardia, ATP therapy is a fast, simple and effective mothod.Keywonds: paroxysmal supraventricular tachycardia; adenosine triphosphate, analysis of the cases