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慢性心房纤颤(以下简称房颤)是临床上比较常见的一种心律失常。房颤时心房失去协调一致的有规律的舒缩活动,而代之以很多处于各种不同兴奋期和反拗期的局灶性心房小岛所发出的纤维波动,丧失了排血功能。纠正房颤对防止全身动脉栓塞、改善心功能有一定作用。房颤因病因不同和持续时间久暂,晚近不少学者对转复为窦律是否必要,提出了各自的见解。本文是笔者在张掖地区医院工作期间,于1980年元月~1981年6月一年半时间内应用奎尼丁、心得安、阿托品三药联合转复风心病、冠心病、心肌病三个病种慢性房颤36例次,将其体会和教训总结如下:
Chronic atrial fibrillation (hereinafter referred to as atrial fibrillation) is a more common clinical arrhythmia. Atrial fibrillation, loss of coordination of atrial systolic regular contraction and relaxation activities, and replaced by many in a variety of different periods of excitement and reflex of the focal atrial island issued by the fiber fluctuations, loss of blood flow. Correct atrial fibrillation to prevent systemic arterial embolism, improve cardiac function have a role. Atrial fibrillation due to different causes and duration of a long time ago, many scholars recently turned to sinus rhythm is necessary, put forward their own opinions. This article is the author during the Zhangye hospital work, in January 1980 ~ June 1981 a year and a half during the application of quinidine, propranolol, atropine three combined treatment of rheumatic heart disease, coronary heart disease, cardiomyopathy three 36 cases of chronic atrial fibrillation, the experience and lessons learned are summarized as follows: