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很多年就已经知道颈动脉窦刺激(以下简称CSS)有助于鉴别各种心动过速。尤其是在处理紧急需要鉴别的规整的异位心动过速和增宽的QRS综合波时更是如此。此外CSS在终止室上性(房性、房室结性)心动过速是非常有价值的。另一方面疑有洋地黄中毒的病人用CSS是危险的,并且可以引起心室纤颤。本文引证了有关文献,并且强调临床应用CSS的益处以及可能产生的不利反应。
Carotid sinus stimulation has been known for many years (hereinafter referred to as CSS) to help identify a variety of tachycardia. This is especially true when dealing with regular ectopic tachycardia and broadening QRS complexes that need urgent identification. In addition CSS in the termination of supraventricular (atrial and atrioventricular tachycardia) tachycardia is very valuable. On the other hand, patients with digitalis poisoning suspected of using CSS are dangerous and can cause ventricular fibrillation. This article cites the literature and highlights the benefits of clinical use of CSS and the possible adverse reactions.