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ti wai zhi liu dian zhuan fu chi xu xing fang chan 35 li liao xiao guan cha
Author(s): 
Pages: 59-59
Year: Issue:  4
Journal: HEILONGJIANG MEDICINE AND PHARMACY

Keyword:  直流电转复持续性房颤咪唑安定;
Abstract: 目的:观察体外(经胸)直流电转复持续性房颤的疗效.方法:经食管超声排除左心房内血栓,并口服华法令3周以上,描记12导联心电图,测上肢血压,面罩吸氧15~30min后静脉缓慢推注咪唑安定7~14mg(平均8.6mg),待患者处于嗜睡状态时,于前侧位以100~150J功率行同步直流电转复,一次不成功,可将功率提高至150~200J,重复电击转复1-2次,电击转复结束描记心电图,测血压,心电监护 24h,转复成功者继续服用华法令抗凝4周,结果:本组35例经1次放电转复成功21例,2次放电转复成功8例,第3次放电成功2例,合计31例,成功率88.6%.结论:体外(经胸)电转复持续性房颤,是一项简便、有效和安全的治疗技术.
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