论文部分内容阅读
扭转型室性心动过速(TDP)是一种特殊类型的快速性心律失常。由各种病因所致。本组6例TDP 患者是我院1991年3月至9月资料完整的住院病人。男1例,女5例,年龄23～71岁(平均50岁)。均有胸闷、气憋,5例有反复多次短阵意识丧失。晕倒、抽搐。其中冠心病3例(伴房颠、Ⅲ°AVB 各1例,AMI 伴Ⅱ°AVB 1例),心肌炎、二尖瓣返流粘连各1例,平素健康发病与情绪激动有关、ECG 示Q-T 间期正常1例。ECG 均为尖端扭转型室速,发作前均为恶性室早。血钾均在正常范围。治疗均予25%硫酸镁、10%氯化钾,同时胸外心脏挤压5例,利多卡因4例,异丙肾3例,阿托品2例,电击除颤3例,行临床起搏
Torsion-type ventricular tachycardia (TDP) is a special type of tachyarrhythmia. Caused by a variety of causes. The group of 6 patients with TDP in our hospital in March 1991 to September complete hospital data. 1 males and 5 females, aged 23 to 71 years (mean 50 years). Have chest tightness, gas hold back, 5 cases have repeated short array of consciousness loss. Fainted, convulsions. One case of coronary heart disease in 3 cases (with atrial top, Ⅲ ° AVB each in 1 case, AMI with Ⅱ ° AVB in 1 case), myocarditis, mitral regurgitation and adhesion in 1 case, usually healthy and emotionally related to the onset of ECG showed QT 1 case of normal. ECG are torsades de pointes ventricular tachycardia, before the onset of malignant ventricular early. Potassium are in the normal range. Treatment were 25% magnesium sulfate, 10% potassium chloride, while 5 cases of cardiac chest compression, lidocaine 4 cases, 3 cases of isoproterenol, atropine in 2 cases, shock defibrillation in 3 cases, clinical pacing