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最近,我们对采用电生理方法进行病灶定位有困难的1例室性心动过速(简称室速)病人,通过床旁二维超声心动图实时显象协助病灶定位,成功地进行了经导管电击治疗。临床资料男29岁,因反复室速发作两年余入院。起病时,患者突然发生数次昏厥经心电图检查发现室速。此后反复发作持续数秒至10小时不等。持续性室速(≥30秒)每月发作3～4次,多需治疗方能终止。发作时间长时心率常增快至200次/分以上,并出现头昏、血压下降,发作阿-斯综合征1次、采用电复律2次。单独或联合服用普罗帕酮、美西律、胺碘酮等
Recently, one of our patients with ventricular tachycardia (VT) who had difficulty in locating the lesions by electrophysiological methods was assisted by real-time two-dimensional echocardiography at the bedside to help locate the lesion and successfully performed a transcatheter shock treatment. Male 29 years old clinical data, due to repeated episodes of ventricular tachycardia more than two admitted to hospital. Onset, the patient suddenly had several syncope by electrocardiogram and found ventricular tachycardia. After repeated seizures continued for a few seconds to 10 hours. Continuous ventricular tachycardia (≥ 30 seconds) attack 3 to 4 times per month, more treatment can be terminated. Attack time long heart rate often increased to 200 beats / min or more, and dizziness, decreased blood pressure, attack Aries Syndrome 1, using electrical cardioversion 2 times. Propafenone, mexiletine, amiodarone, and the like, alone or in combination