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急性病毒性心肌炎合并完全性房室阻滞的人工起搏治疗和转归
引用本文:张仕清,廖铭扬,廖静,黄峻,黄元铸,马文珠.急性病毒性心肌炎合并完全性房室阻滞的人工起搏治疗和转归[J].中国心脏起搏与心电生理杂志,1994(1).
作者姓名:张仕清  廖铭扬  廖静  黄峻  黄元铸  马文珠
作者单位:南京医学院第一附属医院心脏科
摘    要:报道成人病毒性心肌炎合并完全性房室阻滞(CAVB)33例的发生时间、人工起搏治疗和转归。2例系一过性CAVB,自行恢复窦性心律;其余31例均经皮穿刺作临时起搏,28例同时应用皮质激素。一周内恢复窦性心律者24例(72.73%)。2例出现CAVB的短暂复发,5例CAVB持续一个月以上而植入永久起搏器(VVI型)。2例(6.01%)死于心源性休克和左心衰竭。

关 键 词:心脏起搏.人工,房室阻滞,心肌炎.病毒性

Temporary Pacing Therapy and Outcome of the Patients With Acute Viral Myocarditis Complicating Complete Atrioventricular Block
Zhang Shiqing,Liao Mingyang,Liao Jing,et al.Temporary Pacing Therapy and Outcome of the Patients With Acute Viral Myocarditis Complicating Complete Atrioventricular Block[J].Chinese Journal of Cardiac Pacing and Electrophysiology,1994(1).
Authors:Zhang Shiqing  Liao Mingyang  Liao Jing  
Abstract:Thirty-three patients with acute viral myocarditis complicating complete atrioventricular block(CAVB)were reported.Among them,two patients with temporary CAVB recovered to the sinus rhythm spontanously,31 cases were carred out temporary pacing.Two patients had temporary reccurence of CAVB.Two each remained complete right bundle branch block and first degree atrioventricular block.Five cases(15.15%)became permanent CAVB and underwent permanent pacing after clinical investigation more than one month(33.5±14.7days).Another 2 patients(6.01%)died from cardiac shock and acute heart failure.
Keywords:Cardiac pacing  artificial  Atrioventricular block  Myocarditis  viral  
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