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阵发性室上性心动过速在基层医院急诊的治疗
引用本文:梁俊杰. 阵发性室上性心动过速在基层医院急诊的治疗[J]. 基层医学论坛, 2011, 15(1): 19-21
作者姓名:梁俊杰
作者单位:江门市新会区人民医院,广东,江门,529100
摘    要:目的探讨适合基层医院急诊的治疗阵发性室上性心动过速(PSVT)的方法。方法回顾性分析107例阵发性室上性心动过速患者的临床资料,按处理方法的不同分为3组,分别为异搏定治疗组、普罗帕酮治疗组、物理方法+普罗帕酮治疗组,记录给药前后患者的临床表现和心电图的改变。结果物理方法+普罗帕酮治疗组心律转复成功率为93.5%,高于其他2组,差异有统计学意义P(〈0.05);物理方法+普罗帕酮治疗组平均复律时间和用药剂量均少于单纯普罗帕酮治疗组,差异有统计学意义(P〈0.05)。结论在基层医院院前急诊,可首选物理方法+普罗帕酮法治疗PSVT.

关 键 词:阵发性室上性心动过速  治疗方法  普罗帕酮  心律平  迷走神经刺激  基层医院  急诊

Emergency treatment of paroxysmal supraventricular tachycardia in basic level hospital
Liang Junjie. Emergency treatment of paroxysmal supraventricular tachycardia in basic level hospital[J]. Public Medical Forum Magazine, 2011, 15(1): 19-21
Authors:Liang Junjie
Affiliation:Liang Junjie.Xinhui District Hospital of Jiangmen City,Jiangmen,Guangdong 529100
Abstract:Objective To approach proper emergency treatment of paroxysmal supraventricular tachycardia in basic level hospital.Methods Retrospectively analyzed the clinical data of 107 patients who were diagnosed PSVT and they were divided into 3 groups.There were respectively verapamil group,propafenone group and propafenone combined with physical treatment group.Record the clinical manifestations and EcG variation from the initiation of treatment to the termination of PSVT.Results The conversion rate from PSVT to si...
Keywords:Paroxysmal supraventricular tachycardia Therapy Propafenone Vagal nerve Basic level hospital Emergency  
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