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本文报道我院1986年3月~1991年6月静脉注射ATP治疗阵发性室上性心动过速(PSVT)45例98例次疗效。患者男30例,女15例,年龄24~73岁,病程1月~36年。其中预激综合征(WPW)9例,病态窦房结综合征(SSS)3例,风湿性心脏病3例,冠心病4例,高血压性心脏病2例,肺源性心脏病及多发性肌炎各1例,原因不明者22例。有18例经食管电生理证实房室结双通道。经心电图证实PSVT发作。即将ATP20mg(30例,52例次为A组)或ATP20mg加阿托品0.5mg(15例,44例次为B组)用10%葡萄糖溶液稀释至5ml,5秒钟内快速推注,
This article reports 98 cases of 45 cases of paroxysmal supraventricular tachycardia (PSVT) in our hospital from March 1986 to June 1991 intravenous injection of ATP. 30 patients were male and 15 females, aged 24 to 73 years, duration of January to 36 years. There were 9 cases of WPW (WPW), 3 cases of sick sinus syndrome (SSS), 3 cases of rheumatic heart disease, 4 cases of coronary heart disease, 2 cases of hypertensive heart disease, pulmonary heart disease and multiple 1 case of myositis, unexplained 22 cases. There are 18 cases of transesophageal electrophysiology confirmed atrioventricular node dual channel. PSVT confirmed by electrocardiogram attack. The ATP20mg (30 cases, 52 cases for the A group) or ATP20mg plus atropine 0.5mg (15 cases, 44 cases for the B group) diluted with 10% glucose solution to 5ml, rapid bolus within 5 seconds,