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目的探讨食管心房调搏术(transesophageal atrial pacing,TEAP)转复Ⅰ型心房扑动的有效性。方法采用超速抑制法和短阵快速刺激法(Burst法)转复Ⅰ型房扑。结果 43例Ⅰ型心房扑动转复39例,4例失败,有效率90.7%,无并发症发生。结论食管心房调搏术转复Ⅰ型房扑急诊患者不良反应小,费用低,操作简单,有显著疗效,临床非常实用。
Objective To investigate the effectiveness of transesophageal atrial pacing (TEAP) for the recovery of type Ⅰ atrial flutter. Methods The type Ⅰ atrial flutter was recovered by the method of overspeed suppression and Burst method. Results 43 cases of type Ⅰ atrial flutter in 39 cases, 4 cases failed, the effective rate was 90.7%, no complications. Conclusion esophageal atrial pacing in patients with type Ⅰ atrial flutter emergency patients with small adverse reactions, low cost, simple operation, a significant effect, the clinical is very practical.