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为掌握心律平静脉应用的适宜剂量使之既达到治疗目的又减少副反应的发生。本文报告静脉应用心律平26例,对剂量与疗效和严重心脏副反应的防治进行分析。资料和方法一、一般资料: 26例患者:男11例,女15例,年龄6至80岁。病因:冠心病5例,风心病4例,心肌病3例,外科手术4例,乌头碱中毒2例,W—P—W3例,心肌炎2例,肺心病1例,原因不明2例。心律失常类型:室速11例(短阵室速5例,持续室速6例),快速室上性心律失常15例(psVT1例,不纯房扑4例、房扑3例、房颤2例、房速2例),心室率均大于150次/分。心功不全8例(Ⅱ至Ⅲ级5例、Ⅳ级3例),快速心律失常持续时间最短20分,最长5天。
To master the appropriate dose of venous venous and make it both for therapeutic purposes and reduce the incidence of side effects. This article reports venous application of ventricular rhythm flat 26 cases, the dose and efficacy and serious prevention and treatment of cardiac reactions were analyzed. Materials and Methods First, the general information: 26 patients: 11 males and 15 females, aged 6 to 80 years. Etiology: Coronary heart disease in 5 cases, rheumatic heart disease in 4 cases, cardiomyopathy in 3 cases, surgery in 4 cases, aconitine poisoning in 2 cases, W-P-W3 cases, myocarditis in 2 cases, pulmonary heart disease in 1 case, unexplained 2 cases. Type of arrhythmia: ventricular tachycardia in 11 cases (5 cases of paroxysmal ventricular tachycardia, sustained ventricular tachycardia in 6 cases), 15 cases of rapid supraventricular arrhythmias (psVT1 cases, 4 cases of impure atrial flutter, atrial flutter in 3 cases, atrial fibrillation 2 Cases, 2 cases of atrial tachycardia), ventricular rate was greater than 150 beats / min. 8 cases of heart failure (Ⅱ to Ⅲ grade 5 cases, Ⅳ grade 3 cases), short duration of tachyarrhythmia 20 minutes, up to 5 days.