急诊科复律80例阵发性心房纤颤临床分析

Clinical analysis of 80 patients with atrial fibrillation for convetsion at emergency department

目的:了解急诊阵发性心房纤颤的复律疗效。方法:80例阵发性心房纤颤患者,先用胺碘酮静注,不能复律者给予100-200焦尔电击复律。结果:用胺碘酮转为窦性者为20例,有效率25%,没有复律的60例,给予同步电复律100-200焦耳,55例转为窦性心律,有效率为91.7%。结论:同步电击复律对阵发性心房纤颤疗效明显,值得急诊科首选。

Objective：To investigate the therapeatic effectiveness of conversion for paroxysmal atrial fibrillation. Methods：If amiodarone were given by intravenous injection first,conversion of paroxysmal atrial fibrillation were not successful, 100 -200J synchronized cardioversion were given. Results：20 patients with sinus rhythm were recovered by amiodarone in 80 patients with paroxysmal atrial fibrillation, effective rate were 25 %, 150 -200J synchronized cardioversion were given in 60 patients with paroxysmal atrial fibrillnation who were not recovered by amiodarone, sinus rhythm were recovered in 55 patients with paroxysmal atrial fibrillation, effective rate were 91.7%. Conclusion：The therapeutic effectiveness of synchronized cardioversion were very obvious, first choice were recommended at emergency department.