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随着心电生理学研究的深入和心电图应用的普及,提高了医生对心律失常的认识,心律失常的诊断和治疗已是临床上的重要课题了,特别是对那些直接危及生命的严重心律失常,就更应十分重视。心律失常的治疗主要是依靠药物和电子仪器(电复律器和人工起搏器)。但对某些心律失常,有时可先用呼吸动作(如闭住声门、使劲呼气的 Valsalva 氏动作,闭住声门、使劲吸气的 Mülle 氏动作,以及暂时憋气停止呼吸)、按压动作(如按压颈动脉窦、捶击心前区、人工按压心脏)治疗。对另一些心律失常,最后的办法可试用外科手术(如交感神经切除,以及对顽固性阵发性心动过速合并预激症群者切除副传导径束)。有时,这几种方法可先后或联合应用。
With the deepening of electrophysiological research and the popularization of the application of electrocardiogram, the doctors’ understanding of arrhythmia has been raised. The diagnosis and treatment of arrhythmia has become an important clinical issue. Especially for those serious arrhythmias that are directly endangering life, Should pay more attention. Arrhythmias are mainly treated by drugs and electronic devices (cardioverters and pacemakers). However, for some arrhythmias, it is sometimes possible to start with breath movements (such as closing the glottis, Valsalva’s breath, breathless Mülle’s motion, and temporarily suffocating to stop breathing), press action (Such as pressing the carotid sinus, thump heart area, artificial heart pressure) treatment. For other arrhythmias, the final approach may be to perform surgical procedures (such as sympathectomy, and resection of the APT bundle for refractory paroxysmal tachycardia with prediabetes). Sometimes, these methods can be used in tandem or in combination.