论文部分内容阅读
本文首次报道采用经食管电极导管发放低能量同步直流电能转复持续性室性心动过速获得成功的病例。患者男性,50岁,住院号193008。1~+年前因突发心悸,伴胸痛、头昏25小时入院。ECG示宽QRS心动过速,心率160次/分,静滴并多次静注利多卡因无效,作经食管心房超速起搏亦无效,入院后11小时血压由13.7/9.6KPa(100/70mmHg)渐降至8.2/5.4KPa(90/40 mmHg),遂给50焦耳(J)能量作经胸同步直流电击而复律成功。入院1月内,宽QRS心动过速共复发7次,慢心律、利多卡
This article first reported the use of transesophageal catheters issued low-energy synchronous DC power recovery of sustained ventricular tachycardia successful cases. Male patient, 50 years old, hospital number 193008.1 ~ + years ago due to sudden heart palpitations, chest pain, dizziness 25 hours admission. ECG showed wide QRS tachycardia, heart rate 160 beats / min, intravenous drip and intravenous lidocaine invalid for transesophageal atrial pacing was also ineffective, 11 hours after admission blood pressure by 13.7 / 9.6KPa (100 / 70mmHg ) Gradually decreased to 8.2 / 5.4KPa (90/40 mmHg), then 50 joules (J) of energy for traumatic synchronized DC shock and cardioversion success. Admission in January, wide QRS tachycardia relapse 7 times, slow heart rate, Lidoca