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本文报道了预激综合征并心房颤动12例,对其临床表现,心电图,诊断和鉴别诊断,以及治疗进行了讨论。认为预激综合征并房颤时有突转为心室颤动的危险。治疗以乙胺碘呋酮、普鲁卡因酰胺以及电击复律效果较好;洋地黄缩短旁径不应期,能使心室率加快,有诱发室颤的可能,应列为禁忌。对少数伴发器质性心脏病患者,病情凶险,有各种快速性心律失常交替出现者,复律后宜较长时间心电监护,切勿放松警惕。
This article reports the pre-excitation syndrome and atrial fibrillation in 12 cases, its clinical manifestations, electrocardiogram, diagnosis and differential diagnosis, and treatment were discussed. Think Wolff-Parkinson’s syndrome and sudden changes in the risk of ventricular fibrillation. Treatment with amiodarone, procainamide and electroshock cardioversion better; digitalis Shortening of refracting period, can make the ventricular rate, the possibility of induced ventricular fibrillation should be taboo. For a few patients with organic heart disease, dangerous condition, there are a variety of tachyarrhythmia alternating persons who, after cardioversion should be longer ECG, do not relax vigilance.