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静脉注射胺碘酮转复阵发性房颤的疗效观察
欧艳勉
547000 广西,河池市第三人民医院心内科
摘要:
[摘要] 目的 观察阵发性房颤伴快速心室率患者静脉注射胺碘酮的有效性和安全性。 方法 对阵发性房颤伴快速心室率的64例器质性心脏病患者,首次静脉注射胺碘酮150 mg,15 min后无效时重复应用,然后用微泵静脉维持1 mg/min,6 h后改为0.5 mg/min维持18 h。 结果 负荷量为150~300(198±46)mg,转复成功率为78.1%,副作用发生率9.4%。结论 静脉注射胺碘酮治疗并发器质性心脏病的阵发性房颤伴快速心室率是有效、较安全的。
关键词:  胺碘酮  心房颤动
DOI:10.3969/j.issn.1674-3806.2010.01.24
分类号:R 541.75
基金项目:
Efficacy of intravenous injection of amiodarone for patients with paroxysmal atrial fibrillation
OU Yan-mian
Department of Cardiology,the Third People′s Hospital of Hechi, Guangxi 547000,China
Abstract:
[Abstract] Objective To observe the efficacy and security with intravenous amiodarone for paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease.Methods Sixty-four patients of paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease were treated with loaded intravenous amiodarone (150 mg),and dripped 1 mg/min for 6 hours,then 0.5 mg/min for 18 hours in proper order.Results The conversion rate to sinus rhythm was 78.1%.The incidence of side effects was 9.4%.Conclusion The results showed it is effective and safe with intravenons amiodarone in treatment of paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease.
Key words:  Amiodarone  Atrial fibrillation