102例快速性心律失常的急诊处理

Emergency Treatment of 102 Cases of Tachyarrhythmia

为研究快速性心律失常的急诊处理 ,共收集了 1998年 1月～ 1999年 3月宜城县人民医院 10 2例临床诊断为快速心律失常的患者。心律失常主要类型有快速心房颤动、房性心动过速、心房扑动、阵发性室上性心动过速(PSVT)、室性心动过速、心室扑动、心室颤动 ,根据不同的类型给予抗心律失常治疗。快速房颤 6 4例 ,9例立即转为窦性心律 ,余 5 5例以减慢心室率为主。房性心动过速、心房扑动均转为窦性心律。 2 5例 PSVT均中止发作。 1例室颤因抢救无效死亡 ,余 8例室速、室颤均中止。快速心律失常临床常见 ,部分具有高度致命性 ,急诊时必须正确识别 。

In order to study the emergency treatment of tachyarrhythmia, 102 cases of tachyarrythmia clinically diagnosed were collected from Jan. 1998 to March 1999 in Yicheng People's Hospital of Hubei Province. The main types of arrythmia included rapid atrial fibrillation, atrial tachycardia, atrial flutter, paroxysmal supraventricular tachycardia (PSVT), ventricular tachycardia, ventricular flutter and ventricular fibrillation. Antiarrhymic treatments were given to the patients according to the varied types of arrythmia. Among the 64 cases of rapid atrial fibrillation, 9 turned to be sinus rhythm immediately and 55 mainly showed a reduction ventricular rates. Both atrial tachycardia and atrial flutter turned to be sinus rhythm. All 25 cases of PSVT stopped episode. Except one case of ventricular fibrillation was dead, the remaining 8 cases of ventricular tachycardia or ventricular fibrillation stopped episode. Tachyarrhythmia was commonly seen clinically. It is necessary to dianose and treat tachyarrhythmia immediately and correctly in emergency.