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间脏治疗在心律失常中应用举隅 被引量:2
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作者 洪流 《中医杂志》 CSCD 北大核心 2001年第2期76-77,共2页
心律失常,临床表现以心悸、怔忡,其脉或促、或结、或代等为主症。笔者遇到较多病人经过多种治疗,心律失常未能纠正而又要求单用中医药治疗者,从间脏辨证,屡获效验。兹举数例,藉以引玉。 1 疏肝泄胆定悸 潘某,男,22岁,工人。1991年4月2... 心律失常,临床表现以心悸、怔忡,其脉或促、或结、或代等为主症。笔者遇到较多病人经过多种治疗,心律失常未能纠正而又要求单用中医药治疗者,从间脏辨证,屡获效验。兹举数例,藉以引玉。 1 疏肝泄胆定悸 潘某,男,22岁,工人。1991年4月21日就诊。主诉心悸、胸闷2年余。西医诊断为病毒性心肌炎、室性早搏。曾在某医院住院治疗2个月,后又在多家医院诊治。出院后服用过Ia类抗心律失常药如奎尼丁、Ib类抗心律失常药如慢心律、Ic类抗心律失常药如心律平、Ⅲ类抗心律失常药如乙胺碘呋酮等,有时联合应用炙甘草汤、朱砂安神丸、归脾汤等半年余,仍有早搏,如停用西药则早搏明显增多。追询但觉胸胁满闷,心悸频作,大便干结(数日一行),小便短少,失眠多梦,晨起口苦,纳佳。舌偏红、苔薄黄腻,脉弦促。心电图示:频发室性早搏,时呈三联律(2次正常心率,1次室性早搏)。肝功能正常。治宜疏利肝胆,重镇安神。以柴胡加龙骨牡蛎汤主之。处方:柴胡15g,龙骨30g(先煎),牡蛎30g(先煎),黄芩10g,党参10g,炙甘草5g,桂枝6g,朱茯苓10g,制半夏10g,生大黄10g,大枣5g,龙齿30g(先煎),5剂。二诊时,悸闷大减,寐亦安,舌脉同上,原方继服5剂。药后诸症霍然消失,心电图检查示:正常心电图。嘱勿过劳,怡心情,每月复查心电图1次,共查3次均正常,随访5年未复发。以后遇多例此证型者,用本方法皆取效。 展开更多
关键词 心律失常 中医药治疗 间脏治疗
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间脏治疗在心律失常中应用举隅
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作者 洪流 《实用中医内科杂志》 2000年第3期33-33,35,共2页
关键词 心律失常 中医药疗法 间脏治疗
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Left univentricular pacing for cardiac resynchronization therapy using rate-adaptive atrioventricular delay 被引量:4
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作者 Li-Jin PU Yu WANG +9 位作者 Lu-Lu ZHAO Tao GUO Shu-Min LI Bao-Tong HUA Ping YANG Jun YANG Yan-Zhou LU Liu-Qing YANG Ling ZHAO Hai-Yun LUO 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第2期118-126,共9页
Objective To evaluate left univentricular (LUV) pacing for cardiac resynchronization therapy (CRT) using a rate-adaptive atrioven- tricular delay (RAAVD) algorithm to track physiological atrioventricular delay ... Objective To evaluate left univentricular (LUV) pacing for cardiac resynchronization therapy (CRT) using a rate-adaptive atrioven- tricular delay (RAAVD) algorithm to track physiological atrioventricular delay (AVD). Methods A total of 72 patients with congestive heart failure (CHF) were randomized to RAAVD LUV pacing versus standard biventricular (BiV) pacing in a 1 : 1 ratio. Echocardiography was used to optimize AVD for both groups. The effects of sequential BiV pacing and LUV pacing with optimized A-V (right atrio-LV) delay using an RAAVD algorithm were compared. The standard deviation (SD) of the S/R ratio in lead VI at five heart rate (HR) segments (Rs/R-SD5), defined as the "tracking index," was used to evaluate the accuracy of the RAAVD algorithm for tracking physiological AVD. Results TheQRS complex duration (132 ± 9.8 vs. 138± 10ms, P 〈 0.05), the time required for optimization (21 ±5 vs. 50±8min, P〈 0.001), the mitral regurgitant area (1.9 ± 1.1 vs. 2.5 ± 1.3 em2, P 〈 0.05), the interventricular mechanical delay time (60.7 ± 13.3 ms vs. 68.3 ± 14.2 ms, P 〈 0.05), and the average annual cost (13,200 ± 1000 vs. 21,600 ± 2000 RMB, P 〈 0.001) in the RAAVD LUV pacing group were significantly less than those in the standard BiV pacing group. The aortic valve velocity-time integral in the RAAVD LUV pacing group was greater than that in the standard BiV pacing group (22.7 ± 2.2 vs. 21.4 ± 2.1 cm, P 〈 0.05). The Rs/R-SD5 was 4.08 ± 1.91 in the RAAVD LUV pacing group, and was significantly negatively correlated with improved left ventricular ejection fraction (LVEF) (ALVEF, Pearson's r = -0.427, P = 0.009), and positively correlated with New York Heart Association class (Spearman's r - 0.348, P 0.037). Conclusions RAAVD LUV pacing is as effective as standard BiV pacing, can be more physiological than standard BiV pacing, and can de- crease the average annual cost of CRT. 展开更多
关键词 Cardiac resynchronization therapy Congestive heart failure Left univentricular pacing Rate adaptive atrio-ventricular delay
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A retrospective study of continuous renal replacement therapy versus intermittent hemodialysis in severe acute renal failure 被引量:5
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作者 季大玺 龚德华 +3 位作者 谢红浪 徐斌 刘芸 黎磊石 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第11期37-41,105,共6页
Objective To investigate the efficacy of continuous renal replacement therapy(CRRT)versus intermittent hemodialysis(IHD)in patients with severe acute renal failure(ARF).Methods One hundred and ninety -three severe ARF... Objective To investigate the efficacy of continuous renal replacement therapy(CRRT)versus intermittent hemodialysis(IHD)in patients with severe acute renal failure(ARF).Methods One hundred and ninety -three severe ARF patients who received renal support between December 1978 and December 1998 were involved in this study.Of them,101(52.3%)were treated with CRRT(CRRT group),and 92(47.7%)with IHD(IHD group).Results Sixty(59.4%)patients in the CRRT group got through the acute phase of disease and 41 (40.6%)patients did not survive while in the IHD group 59(64.1%)patients survived and 33(35.9%)patients did not.No significant difference in survival rate was found between the two groups.24 of 64 patients(37.5%)in the CRRT group with multiple organ dysfunction syndrome(MODS)survived,while in the IHD group,8 out of 44(27.3%)survived,their survival rate was much lower than that in the CRRT group.Patients in CRRT group were more severely iii,as manifested by lower mean arterial pressure,higher APACHE Ⅱ score,more dysfunctioned organs and requiring mechanical ventilation and vasopressor support as compared with patients in the IHD group,CRRT was found to improve hemodynamic stability with a better fluid balance and control of biochemical status,increased nutritional intake and a shorter duration of acute renal failure(P < 0.05).Conclusion CRRT perhaps may be the best choice in the treatment of severe ARF patients,for it can offer several distinct advantages compared to IHD.These may contribute to improving the survival rate of ARF patients,particularly those that are critically ill patients. 展开更多
关键词 acute renal failure · intermittent hemodialysis · continuous renal replacement therapy
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