引用本文:杨海平.胺碘酮治疗急性左心衰竭并发快速心律失常的疗效分析[J].中国临床新医学,2009,2(12):1292-1293.
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胺碘酮治疗急性左心衰竭并发快速心律失常的疗效分析
杨海平
010020 呼和浩特, 内蒙古呼和浩特第一医院急诊科
摘要:
[摘要] 目的 观察胺碘酮治疗急性左心衰竭并发快速心律失常的疗效。方法 45例急性左心衰竭并发快速心律失常患者应用胺碘酮静脉注射治疗。结果 45例患者中,25例显效(55.6%),15例有效(33.3%),总有效率88.9%;治疗前后心室率差异有统计学极显著意义(P<0.01), 平均血压差异有统计学显著意义(P<0.05);40例患者心功能得到改善;未出现低血压、窦性心动过缓等严重并发症。结论 胺碘酮治疗急性左心衰竭并发快速心律失常安全而有效。
关键词:  急性左心衰竭  胺碘酮  快速心律失常  疗效
DOI:10.3969/j.issn.1674-3806.2009.12.25
分类号:R 541.6
基金项目:
Effect analysis on amiodarone in the treatment of patients with acute left ventricular failure complicated with tachyarrhythmia
YANG Hai-ping
The First People′s Hospital of Huhehaote, Department of Emergency, Inner Mongolia 010020, China
Abstract:
[Abstract] Objective To investigate the curative effect of amiodarone in treatment of the acute left ventricular failure complicated with tachyarrhythmia. Methods Forty-five patients with acute left ventricular failure complicated with tachyarrhythmia were treated by intravenous administrition of amiodarone. Results In the 45 patients, 25 patients were significant effective(55.6%), 15 patients were effective(33.3%). The total effective rate was 88.9%. The change of ventricular rate had higher significant difference before and after treatment (P<0.01), While the blood pressure had significant difference before and after treatment (P﹤0.05). The cardiac function of these 40 patients were improved significantly. They were no serious complications such as hypotension and sinus bradycardia. Conclusion Intravenous administrition of amiodarone is safe and effective for the treatment of acute left ventricular failure complicated tachyarrhythmia.
Key words:  Acute left ventricular failure  Amiodarone  Tachyarrhythmia  Treatment effect