静脉注射胺碘酮治疗顽固性室速疗效及安全性

目的：观察静脉注射胺碘酮治疗顽固性室速疗效并评价其安全性。方法：选择23例顽固性室速（VT）病人静脉注射胺碘酮治疗,观察心律失常的改善。结果：VT转为窦性心律20例（86.9％）,15例患（65.2％）在24小时内转复窦性心律,72小时累计86.9％。3例发生血压降低、窦性停搏的不良反应经停药或对症处理后症状消失。结论：在持续心电监护和严密观察下应用静脉注射胺碘酮是一种治疗顽固性室速的安全、快速、有效的方法。

Efficacy and safety of amiodarone by renous injection in treatment of ventricular tachycardia

Objective: To study the effect and reliability of amiodarone by i.v. in treatment of ventricular tachycardia. Methods: 23 patients with ventricular tachycardia were injected amiodarone in venously. Results: 20 cases of ventricular tachycardia turned into sinus rhythm with in 72 hours (86.9%) in total, in which 15 cases turned into sinus rhythm in 24 hours (65.2%). Hypotension or sinus arrest appeared in 3 cases during the course of therapy, but after stopped using amiodarone and treated with dopamine the adverse symptoms eliminated within 2 hours. Conclusion: It is a good way to treat ventricular tachycaardia with intravenous amiodarone and electrocardiogram monitoring and careful observation are necessary.