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顽固性心动过速的消蚀术治疗(58例报告)
引用本文:邓玉莲,许春萱,陈林,吴卫,王五一,林锋,胡锡衷. 顽固性心动过速的消蚀术治疗(58例报告)[J]. 福建医科大学学报, 1994, 0(4)
作者姓名:邓玉莲  许春萱  陈林  吴卫  王五一  林锋  胡锡衷
作者单位:福建省心血管病研究所
摘    要:消蚀术治疗58例不同类型的心动过速,总成功率为93.1%。其中40例房室折返性心动过速有45条房室旁道.36例和41条旁道成功地被消蚀。15例房室结双径路致房室结折返性心动过速(消蚀慢径路)和3例室性心动过速(2例位于左室前壁,1例在左后隔)全部获得成功消蚀。无严重并发症。1例遗留有右束支阻滞。随访未见复发病例。根据单极电图的PQS波形易取得成功和减少放电次数。为防止希氏束受损,在房室结处消蚀时必须密切监视心电图和消蚀导管的放置部位。

关 键 词:射频消蚀术,心动过速,房室旁道

Treatment of Refractory Tachycardia with Radiofrequency Catheter Ablation(Report of 58 Cases)
Deng Yulian,Xu Chunxuan,Chen Lin,et al. Treatment of Refractory Tachycardia with Radiofrequency Catheter Ablation(Report of 58 Cases)[J]. Journal of Fujian Medical University, 1994, 0(4)
Authors:Deng Yulian  Xu Chunxuan  Chen Lin  et al
Abstract:Fifty six patients with different tachycardia were treated by radiofrequency catheter ablation.The total success rate was 92.86%.Among them 40 patients with atroventricular(AV)reciprocated tachycardia had 45 AV accessory pathways(AP9),36 of 40 patients(90%)and 41 of 45 APs(91.11%)were successfully abolished.In 13 patients with AV node reentrant tachycardia when ablation on slow pathway,that is all successful 3 patient with sustain ventricular tachycardia(VT);two patients ablation on the left-front wall of the left ventriculus.Other one was on the left-post septum,all the ablation succeeded.No any seriouscomplication occured,but a right bundle branch block in one patient. No relapse case was found at present.According to the PQS shape of the unipolar electrogram on ablation catbeter,the ablation will be more easily success and reduce the delivered current times.In order to prevent His bundle damage,the site of ablation catheter and the feature of its electrogram must be close monitor when the AV node was ablated.
Keywords:radiofrequency ablation tachycardia atroventrecular accessory pathways
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