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Ⅱ孔型房间隔缺损直视修补术后心律失常的临床观察
引用本文:徐志云,张宝仁,郝家骅,朱家麟,陈如坤,贾朝相,孙道华,武士英. Ⅱ孔型房间隔缺损直视修补术后心律失常的临床观察[J]. 中国循环杂志, 1993, 0(3)
作者姓名:徐志云  张宝仁  郝家骅  朱家麟  陈如坤  贾朝相  孙道华  武士英
作者单位:第二军医大学长海医院胸外科(徐志云,张宝仁,郝家骅,朱家麟,陈如坤,贾朝相,孙道华),第二军医大学长海医院胸外科(武士英)
摘    要:210例Ⅱ孔型房间隔缺损术后发生心律失常90例,14种类型,共292例次,其中,室上性占96%。30例需药物治疗,93%的患者出院时恢复正常。本文着重分析心律失常的特点,讨论影响因素及预防措施。

关 键 词:房间隔缺损  直视修补术  心律失常

CLINICAL OBSERVATIONS ON ARRHYTHMIAS FOLLOWING OPEN REPAIR OF SECUNDUM ATRIAL SEPTAL DEFECT
Xu Zhi-Yun,Zhang Bao-Ren,Hao Jia-Hua,et al.. CLINICAL OBSERVATIONS ON ARRHYTHMIAS FOLLOWING OPEN REPAIR OF SECUNDUM ATRIAL SEPTAL DEFECT[J]. Chinese Circulation Journal, 1993, 0(3)
Authors:Xu Zhi-Yun  Zhang Bao-Ren  Hao Jia-Hua  et al.
Affiliation:Xu Zhi-Yun,Zhang Bao-Ren,Hao Jia-Hua,et al. Department of Thoracic Surgery,Changhai Hospital,Second Military Medical College,Shanghai
Abstract:Cardiac arrhythmias occurred in 90 of 210 patients with secundum atrial septal defect following open repair. There were 14 kinds of arrhythmias, 76% was of supraventricular arrhythmias and occurred most frequently within the first 24-hour postoperatively; 4% of ventricular arrhythmias and 13.5% of atrial flutter and fibrillation, mostly appeared One week postoperatively. Normal rhythm was resumed in 93.3% on discharge while 0.2% with persistent bradycardia. The authors summed up the characteristics of arrhythmias, analysed the influencing factors, and pointed out that inappropriate manipulation and poor protection of the right atrium and sinus node were the main factors resulting in postoperative arrhythmias.
Keywords:Secundum atrial septal defect  Repair  Arrhythmia
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