经食管心房调搏1026例结果分析

The clinical application of multifunctional cardiac electrophysiological recorder(DF-5A)

目的探讨多功能心脏电生理刺激记录仪的临床应用。方法应用多功能心脏电生理刺激记录仪（DF-5A型）对1026例被检查者（包括2008年6月至2013年6月在苏州大学第一附属医院门诊、急诊及病房等就诊者）,行经食管心房调搏术（TEAP）,其中男性362例,年龄：15~85岁。结果 1026例被检查中,912例因＂阵发性胸闷心悸不适＂行TEAP,695例拟诊阵发性室上性心动过速（PSVT）;217例拟诊窦房结功能不良,67例因PSVT发作,为中止PSVT;另有47例因不能配合而拒绝TEAP。695例拟诊PSVT者中,TEAP诱发并终止PSVT 278例（房室结双165例,旁道113例）;64例被检查者存在房室结双径路,但未能诱发PSVT。217例拟诊窦房结功能不良者,仅20例符合窦房结功能不良,且大多为老年人。53例被检查者在检查过程中分别出现短阵房速、房扑或房颤,其他被检查者为见明显异常。结论 DF-5A型多功能心脏电生理刺激记录仪给临床医生提供了有效、安全和方便的诊疗措施。

Objective To discuss the clinical application of multifunctional heart electrophysiological recorder（DF-5A）. Methods A total of 1026 subjects（man 362, age 15~85 years） in the First Hospital Affiliated to Suzhou University including OPD ER and hospitalized patients from June 2008 to June 2013 were treated with TEAP with DF-5A. Results 912 subjects take TEAP because of ＂paroxysmal palpitations chest tightness＂. 695 of them were suspected with PSVT, 275 of them were suspected with sinus node dysfunction. 67 subjects take TEAP because of PSVT. 47 subjects cannot tolerate the treatment. 53 subjects have paroxysmal atrial tachycardia, atrial flutter or atrial fibrillation during the inspection process. The rest of subjects have no obvious abnormalities. Conclusions DF-5A provided effective, safe and convenient treatment measures for clinicians.