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目的观察不同药物治疗预激综合征合并心房纤颤(A f)病人的疗效。方法观察预激综合征合并A f病人32例,回顾性分析不同治疗方法的效果。结果胺碘酮、心律平的疗效优于利多卡因;电击除颤转复率高(100%)。结论治疗预激综合征合并心房纤颤时应首选电复律,药物复律时应选用心律平或胺碘酮,慎用利多卡因。
Objective To observe the curative effect of different drugs in treating pre-excitation syndrome with atrial fibrillation (A f). Methods 32 patients with WPW combined with A f were observed and the effects of different treatment methods were retrospectively analyzed. Results Amiodarone and rhythmale were superior to lidocaine. The shock defibrillation rate was high (100%). Conclusions Electrical cardioversion should be the first choice in the treatment of Wolff-Parkinson’s syndrome with atrial fibrillation. Rhythm of venlafaxine or amiodarone should be used in cardioversion. Lidocaine should be used with caution.