急诊终止顽固性快速性心律失常的策略

Strategy of emergency termination for refractory tachyarrhythmia

目的:探讨急诊终止顽固性快速性心律失常的办法。方法:总结回顾太和医院急诊科5年来急诊终止快速性心律失常的病例117例的资料。结果:117例患者心律失常均被急诊终止,21例(17.9%)经过2种以上的方法处理急性终止(其中室上速12例,室速5例,房扑1例,房颤3例),被认定为顽固性快速性心律失常患者中5例(23.8%)经过同步电击复律终止。结论:终止快速性顽固性心律失常需要有个体化的处理策略,先药物后电击复律,必要时直接电击复律。

Objective：To explore the methods of emergency terminating refractory tachyarrhythmia.Methods：Data of 117 cases,Who received emergency termination of tachyarrhythmia in emergency department of Taihe Hospital in the last five years,Were summarized and revieWed.Results：All 117 cases With tachyarrhythmia Were successfully terminated in emergency.A total of 21 cases （17.9%）Were successfully terminated in emergency using tWo or more methods （12 cases With supraventricular tachycardia,five cases With ventricular tachycardia,one case With atrial flutter and three cases With atrial fibrillation）,in these patients concluded as refractory tachyarrhythmia,five pa-tients （23.8%）Were terminated via synchronous electrical cardioversion.Conclusion：Termination of refractory tachyarrhythmia needs individualization treatment strategy,its treatment may be drugs first and then electrical car-dioversion,or electrical cardioversion directly if necessary.