普罗帕酮治疗阵发性室上性心动过速的临床疗效观察

目的探讨普罗帕酮治疗阵发性室上性心动过速的临床效果。方法选择本院2011年收治的阵发性室上性心动过速患者40例,采用普罗帕酮静脉注射转复后,给予普罗帕酮静脉滴注。观察患者临床疗效及复律起效时间。结果 40例患者有效36例,无效4例,有效率为90.0%。用药后<40min起效9例(25.0%),用药后40～60min起效20例(55.6%),用药后>60min起效7例(19.4%)。发生药物不良反应6例(15.0%),主要表现为:恶心、呕吐、头昏、低血压、窦性心动过缓、QTC延长等。结论普罗帕酮治疗阵发性室上性心动过速的疗效较为理想,值得临床推广和应用。

The Observation of Treating of Paroxysmal Supraventricular Tachycardia with Propafenone

Objective To discuss the clinical effect of treating paroxysmal supraventricular tachycardia with propafenone.Methods Choosed 40 cases of paroxysmal supraventricular tachycardia 2011 to treat with propafenone injected to convert after for sinus rhythmand intravenous,and then intravenous injected propafenone.Observed clinical effect and cardioerter time.Results There were 36 cases effected,4 cases invalid,the total effect rate was 90.0%.after<40 min effect to 9 cases(25.0%),after 40 to 60 min effect to 20 cases(55.6%),after>60 min effect to 7 cases(19.4%).Adverse drug reactions happen 6 cases(15.0%),main show is:nausea and vomiting dizziness hypotension sinus bradycardia QTc extend.Conclusion Propafenone in the treatment of paroxysmal supraventricular tachycardia with ideal heartbeat,worthy of promotion and application of.