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目的讨三磷腺苷治疗阵发性房室结或房室折返性心动过速的临床疗效和不良反应。方法观察总结本院收治的51例阵发性房室结或房室折返性心动过速患者经静脉快速注入三磷酸腺苷20mg的疗效及不良反应。结果 51例患者中46例迅速转为正常窦性心律,转复成功率为90%。在转复成功者中均发生一过性窦性停搏及或窦性心动过缓和不同程度的胸部闷胀不适,持续时间短暂,少数患者出现轻度头疼和颜面潮红。结论三磷酸腺苷转复阵发性房室结或房室折返性心动过速具有作用迅速、转复成功率高、不良反应轻持续时间短等优点。
Objective To investigate the clinical efficacy and adverse reactions of phosphogypside in the treatment of paroxysmal atrioventricular node or atrioventricular reentrant tachycardia. Methods To observe the curative effect and adverse reactions of 51 cases of paroxysmal atrioventricular node or atrioventricular reentrant tachycardia treated by intravenous injection of adenosine triphosphate 20 mg in our hospital. Results Of the 51 patients, 46 were rapidly converted to normal sinus rhythm with a success rate of 90%. Transcranial success in patients with a transient sinus arrest or or sinus bradycardia and varying degrees of chest distention discomfort, short duration, a small number of patients with mild headache and facial flushing. Conclusion Adenosine triphosphate translocation paroxysmal atrioventricular node or atrioventricular reentrant tachyarrhythmia with rapid effect, high success rate of conversion, short duration of adverse reactions and other advantages.