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４例患者因恶性室性心律失常伴心源性晕厥于１９９１年４～１２月安置埋藏式自动心脏复律除颤器（ＡＩＣＤ）。术后随访３０～３９（３４．５±４．１）个月。共发作室性心动过速（ＶＴ）１２７次，ＡＩＣＤ放电１４８次。除例１在１次发作ＶＴ时５次放电不能转复外，其余每例每次发作ＶＴ时，ＡＩＣＤ均能有效地识别并终止。其中例１ＶＴ发作４次共放电１６次。例１、例２分别于术后１２个月及９ｄ开始服用抗心律失常药物治疗后未见ＶＴ发生。例３ＶＴ发作与心功能有关，使用相应药物后ＶＴ不再发生。例４ＶＴ发作频繁与精神因素有关。结果提示：①ＡＩＣＤ能迅速有效地终止ＶＴ；②ＡＩＣＤ可能存在误放电；③植入ＡＩＣＤ的病人要配合药物治疗；④植入ＡＩＣＤ的病人进行精神治疗亦不可忽视。
Four patients with malignant ventricular arrhythmia with cardiogenic syncope in 1991 4 to 12 months to install buried automatic cardioventral defibrillator (AICD). The patients were followed up for 30-39 (34.5 ± 4.1) months. Total 127 cases of ventricular tachycardia (VT), AICD discharge 148 times. Except for case 1, 5 episodes of discharge at 1 episode of VT failed to recover, and for each episode of VT at each episode, AICD was effectively identified and terminated. In which cases 1VT attack 4 times a total of 16 discharges. Cases 1 and 2 showed no VT after taking antiarrhythmic drugs at 12 months and 9 days respectively. Cases of 3VT seizures and cardiac function, the use of the corresponding drug VT does not occur. Cases of 4VT episodes frequently associated with mental factors. The results suggest that: ①AICD can terminate VT rapidly and effectively; ②AICD may have misdirected discharge; ③AICD patients should be treated with drugs; ④AICD patients can not be neglected psychotherapy.