| 185例快速心律失常射频消融体会 |
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| 引用本文： | 邹瑞秀,丁志坚,蒋晓岚,蒋建光,纪元. 185例快速心律失常射频消融体会[J]. 江苏大学学报(医学版), 2001, 11(3): 328-329 |
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| 作者姓名： | 邹瑞秀 丁志坚 蒋晓岚 蒋建光 纪元 |
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| 作者单位： | 南京医科大学附属常州市第二人民医院心内科,江苏,常州,213003 |
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| 摘 要： | 目的探讨射频消融(RFCA)在治疗快速心率失常中的应用价值.方法我院自1996年10月～2000年11月RFCA治疗快速心率失常185例,其中男80例,女105例,年龄8～77岁.局麻后经皮穿刺颈内静脉、股静脉、股动脉,插入四极电生理电极导管,先行心内电生理检查明确心率失常类型,后以大头导管精确定位标测,最后开始RF放电,直至射频消融成功结果腔内电生理检查结果,房室旁路折返心动过速(AVNRT)70例,房速(AT)3例心房扑动(AF)2例,特发性室速(IVT)2例,平均随访1年,3例复发均再次消融成功,失败2例,无严重并发症.结论;RFCA是治疗快速心率失常的有效方法.安全,创伤小,可重复应用.
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| 关 键 词： | 消融术 射频 心动过速 |
| 文章编号： | 1006-7655(2001)03-328-02 |
| 修稿时间： | 2001-01-03 |
Experience in the Treatment of 185 Cases of Tachycardia by RFCA |
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| ZHOU Rui xiu,DING Zi jian,JIANG Xiao lan,JIANG Jiang uang,JI Yuan. Experience in the Treatment of 185 Cases of Tachycardia by RFCA[J]. Journal of Jiangsu University Medicine Edition, 2001, 11(3): 328-329 |
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| Authors: | ZHOU Rui xiu DING Zi jian JIANG Xiao lan JIANG Jiang uang JI Yuan |
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| Abstract: | Objective:To investigate the value of using radiofrequency catheter ablation (RFCA) of tachycardia . Methods:From October 1996 to November 2000, 185 cases with tachycardia were treated by RFCA, thereinto male 80 cases, female 105 cases, age from 8 to 77 years. Using local anesthesia, catheters were inserted by a percutaneous technique. the target site was found through activation mapping and/or pace mapping. Radiofrequency discharge began at last untill RFCA succeed. Results:The result of Electro physiologic study: AVNRT 70 cases, atrial tachyeardia[AT] 3 cases, atrial flutter[AF] 2 cases, idiopathic ventricular tachycardia[IVT] 2 cases. Each patient was visited after operation one year average, among them 3 cases who recurred were succeeded in ablating again. 2 cases were defeated all together. No any severe complication occurred in all. Conclusion:RFCA is an effective and safe method for the treatment of tachycardia. |
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| Keywords: | RFCA Radiofrequency Ablation Tachycardia |
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