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本文报导了用乙胺碘呋酮治疗21例顽固性心律失常的临床观察。本组中的心律失常为频发房性或室性期前收缩、阵发室上性心动过速、阵发心房颤动、持续心房颤动或扑动及频发短阵室性心动过速。在1～2周,口服乙胺碘呋酮0.2一天三次。获效后用0.2一天二次。第三个月开始每服五天停二天。观察期间这些病人都不併用其它抗心律失砇?乙胺碘呋酮的疗效评定,显效7例(33%),明显好转5例(24%),有效4例(19%)及无效5例(24%)。全组的总有效率是76%。除病窦综合征外,服用乙胺碘呋酮是很安全的,没有见到任何的严重反应。如用于病窦综合症患者,应先按装按需起搏器。
This article reports the clinical observation of 21 cases of refractory arrhythmia treated with amiodarone. Arrhythmias in this group is frequent or atrial premature ventricular contraction, paroxysmal supraventricular tachycardia, paroxysmal atrial fibrillation, persistent atrial fibrillation or flutter and frequent episodes of ventricular tachycardia. In 1 to 2 weeks, oral amiodarone 0.2 orally three times a day. With 0.2 times a day after the second effect. The third month of each serving five days to stop two days. During the observation period, these patients did not use other antiarrhythmic drugs. The evaluation of the efficacy of amiodarone was effective in 7 (33%), 5 (24%), 4 (19%) and 5 Example (24%). The total effective rate of the whole group is 76%. In addition to sick sinus syndrome, taking amiodarone is safe, did not see any serious reaction. As used in patients with sick sinus syndrome, should be installed according to need pacemaker.