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探讨埋藏式三腔起搏除颤器(CRT-D)手术后电风暴的解决方法。患者,男,37岁,因原发性扩张型心肌病行CRT-D置人术,手术后持续性室性心动过速发作129次,抗心动过速起搏(ATP)治疗124次,其中治疗成功121次,短阵快速起搏(Burst)治疗成功117次,Burst及阵内递减起搏(Rmap)治疗成功4次,5次ATP治疗失败后电转复成功。手术后电转复共9次,一天最多电击3次。经过程控CRT-D,强化药物治疗(倍他乐克联合胺碘酮),并配合其他抗心力衰竭及对症治疗,电风暴最后得到适当控制。
To discuss the solution to the electric storm after the operation of the buried three-chamber pacing defibrillator (CRT-D). The patient, male, 37 years old, had CRT-D surgery due to idiopathic dilated cardiomyopathy, sustained episodes of ventricular tachycardia after surgery, and anti-tachycardia pacing (ATP) for 124 times The therapy was successful for 121 times, including 117 burst bursts, 4 burst bursts and Rmap, and 5 bursts of ATP successfully. Electric transfer after surgery a total of 9 times a day up to 3 shocks. After the program-controlled CRT-D, intensive drug treatment (Betaloc combined with amiodarone), and with other anti-heart failure and symptomatic treatment, the storm finally get the appropriate control.