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胺碘酮与直流电复律治疗风心病房颤60例分析
引用本文:杨树琛,张钲,吴金娥.胺碘酮与直流电复律治疗风心病房颤60例分析[J].兰州医学院学报,2003,29(4):26-27,110.
作者姓名:杨树琛  张钲  吴金娥
作者单位:[1]甘肃省定西地区医院心内科743000 [2]兰州医学院第一附属医院心内科
摘    要:目的:探讨胺碘酮与直流电复律对风心病房颤患者的治疗作用及影响房颤转复能否转复的影响因素。方法:回顾性分析了60例风心病并房颤患者,乙胺碘肤酮与直流电复律治疗后转归情况。胺碘酮0.23次/日,7天;0.22次/日7-14天,不能转复者给予直流电150-300瓦,秒复律。结果:胺碘酮与直流电治疗后,房颤转复成功率为76.7%,无严重并发症发生。左房大小、房颤持续时间是转复能否成功的主要因素。结论:胺碘酮与直流电复律联合治疗风心病房颤是安全有效的。

关 键 词:胺碘酮  直流电复律  治疗  风心病房颤

Effect of amiodarone on atrial fibrillation electronic diversion
YANG Shuchen,ZHANG Zheng,WU Jine.Effect of amiodarone on atrial fibrillation electronic diversion[J].Journal of Lanzhou Medical College,2003,29(4):26-27,110.
Authors:YANG Shuchen  ZHANG Zheng  WU Jine
Institution:YANG Shuchen,ZHANG Zheng,WU Jine Department of Cardiology,Dingxi City Hospital,Dingxi 743000
Abstract:Objective To eveluate the effects of amiodarone integrated with cardioversion on Af in patients with rheumatic heart disease Methods 60 patients with rheumatic heart disease of Af, Which were treated by amiodarone integrated with cardioversion because of rheumatic heart disease retrospectively ,were orally given amiodarone 0 2 Tid, 7 days,0 2 Bid,7-17days Cardio Defibrillation were(100-300w s) given to those uncardioversion patients Results Aferter the treatment of amiodarone with cardioversion,the total effective rate was 76 7%;significant side effects weren't foumd The diamit of left artrial, the time of Af persistent is the main effects Conclusion It is elective and safe for amiodarone combination with cardioversion to treat of patient with Af in reumatic heart desease
Keywords:Amiodarone  Atrial fibrillation Electronic diversion
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