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室性心动过速28例 被引量:1
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作者 姜宏磊 韩秀珍 +2 位作者 韩波 庄建新 马沛然 《实用儿科临床杂志》 CAS CSCD 北大核心 2005年第10期1001-1002,共2页
目的探讨小儿室性心动过速(VT)的治疗方法。方法我院收治的28例VT患儿先后分别给予利多卡因、胺碘酮、普罗帕酮、维拉帕米、异丙肾上腺素治疗.观察其治疗成功率及抗心律失常药物的有效率。结果成功26例.死亡2例,成功率92.8%。在治疗原... 目的探讨小儿室性心动过速(VT)的治疗方法。方法我院收治的28例VT患儿先后分别给予利多卡因、胺碘酮、普罗帕酮、维拉帕米、异丙肾上腺素治疗.观察其治疗成功率及抗心律失常药物的有效率。结果成功26例.死亡2例,成功率92.8%。在治疗原发病的基础上,予抗心律失常药物治疗,利多卡因有效率为66.7%,胺碘酮有效率100%,普罗帕酮有效率75%,维拉帕米有效率50%,异丙肾上腺素治疗Q-T间期延长综合征1例成功。结论对持续性、反复发作性VT患儿,利多卡因为首选.利多卡因无效可选用普罗帕酮、维拉帕米及胺碘酮。短时间内静注胺碘酮治疗恶性心律失常效果良好。 展开更多
关键词 心动过速.室性 心电描记术 超声心动描记术 治疗
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先天性长QT间期致尖端扭转型室性心动过速一例 被引量:1
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作者 祝丽萍 候兴志 《医学临床研究》 CAS 2012年第1期191-192,共2页
患苦女性.18岁,因反复晕厥,伴抽搐10年于2010年8月3日急诊收住院。患者10年前起激动时发生晕厥,伴抽搐曾在外院诊治好转,之后晕厥反复发作,未做系统诊治。2010年8月3日上课时再次晕厥倒地.伴抽搐,性质同前,意识丧失,呼吸、心... 患苦女性.18岁,因反复晕厥,伴抽搐10年于2010年8月3日急诊收住院。患者10年前起激动时发生晕厥,伴抽搐曾在外院诊治好转,之后晕厥反复发作,未做系统诊治。2010年8月3日上课时再次晕厥倒地.伴抽搐,性质同前,意识丧失,呼吸、心跳骤停急诊入院,经徒手心肺复苏、气管插管、冰帽降温等急救处理,呼吸、心跳恢复。 展开更多
关键词 心动过速.室性 QT延长综合征 心电描记术
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温度监测控制在室性心动过速射频消融中的应用 被引量:1
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作者 杨新春 马长生 +7 位作者 胡大一 商丽华 方全 孙英贤 董建增 刘宣力 王乐丰 刘旭 《心脏起搏与心电生理杂志》 1994年第4期179-181,共3页
在7例左室特发性室性心动过速病人成功射频消融中,使用温度监测控制,发现消融时电极一组织界面温度迅速升高,经过一定时间达到两种稳定的温度状态。即48℃左右(48.7±2.0℃)和70℃左右(66.0±4.8℃)... 在7例左室特发性室性心动过速病人成功射频消融中,使用温度监测控制,发现消融时电极一组织界面温度迅速升高,经过一定时间达到两种稳定的温度状态。即48℃左右(48.7±2.0℃)和70℃左右(66.0±4.8℃).其输出功率分别为48W和22±10.3(15~35)W(P<0.001)。无论输出功率多少,用7Fr可控大头导管电极,在放电开始后约4s,局部温度可达48℃,而达设定温度(70℃)需10s左右,通过温度监测控制提示:放电5~10s消融不成功,应重新进行标测。此结论与临床观察相吻合。 展开更多
关键词 导管消融.射频电流 温度监控 心动过速.室性
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CHANGES OF PLASMA ENDOTHELIN AND ATRIAL NATRIURETIC PEPTIDE DURING THE ONSET AND AFTER TERMINATION OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA 被引量:1
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作者 李春盛 田茹敏 +3 位作者 朱丽楠 李丹宇 冯启刚 高秀兰 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第3期161-164,共4页
Radioimmunoassays were used to measure the concentration changes of plasma endothelin(ET) and atrial natriuretic peptide(ANP) during the onset and after termination of paroxysmal supraventricular tachycardia(SVT). 30 ... Radioimmunoassays were used to measure the concentration changes of plasma endothelin(ET) and atrial natriuretic peptide(ANP) during the onset and after termination of paroxysmal supraventricular tachycardia(SVT). 30 cases were reviewed and compansons with 42 normal subjects were made. There are very significant differences(P<0.0001) in the concentration changes of both plasma ET and ANP during the onset and 30 minutes after the termination of SVT. During the onset period of SVT. the plasma ET and ANP were markedly elevated and 30 minutes after its termination they were lowered significantly, but their concentrations were still 2-fold higher than ihose of the control group. As the biological effects of ANP and ET are antagonistic to each other. their parallel elevation and lowering of plasma concentrations during and.after the termination of SVT reveal that these 2 hormones parucipate in the pathophysiological process of SVT. This phenomenon is possibly one of the homeostatic regulatory functions in the organism. 展开更多
关键词 paroxysmal supraventricular tachycardia ENDOTHELIN atrial natriuretic peptide
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RADIOFREQUENCY ABLATION OF IDIOPATHIC RIGHT VENTRICULAR TACHYCARDIA
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作者 华伟 JituBohra 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第1期37-41,共5页
This paper presents our experience with radioreqencey ablation (RFA) for idiopathic ventricular tachycardia (VT) arising from right ventricle in 12 patients (pts.). The age range of patients was 21-50, with a mean of ... This paper presents our experience with radioreqencey ablation (RFA) for idiopathic ventricular tachycardia (VT) arising from right ventricle in 12 patients (pts.). The age range of patients was 21-50, with a mean of 38.5 years. Ten out of 12 were females, 1 patient had candia failure due to almost incessant VT while the rest had normal left ventricular function. Twelve pts had VT arising from the right ventricle; of those, 9 were from the outflow truct, 2 from the RV apex, and 1 from the RV inflow. In all pts the diagnostic study and therapeutic RFA were combined in a single procedure. Pacemapping and local activition time were used to guide the site of RFA in pts with VT arising from the right ventricle. RFA was successful in 11 of the 12 pts(91 % ). Number of RF applications were 1 -27, mean 9. 6;fluo- roscopy time were 4-75, mean 26. 9 minutes. RFA for idiopathic RV has a high success rate. This mode of treatment should be considered as a nonpharmacological curative treatment for symptomatic pts. 展开更多
关键词 radiofrequency ablation idiopathic VT right ventricle
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