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心律失常经常发生在手术室和监护室。它可以不同程度地影响心肌功能,其影响程度取决于心律失常的性质,原发心脏病情况及病人的全身情况。大多数心律失常是由植物神经系统功能紊乱引起的,临床意义不很大,很少需用抗心律失常药物。但也有不少心律失常,可以引起血液动力学改变,甚至危及生命,必须迅速给予纠正。因此,麻醉医师熟悉、掌握心律失常的预防、诊断和合理使用抗心律失常药是非常必要的。
Arrhythmias often occur in operating and care rooms. It can affect myocardial function to varying degrees, the extent of its impact depends on the nature of arrhythmia, primary heart disease and the patient’s general condition. Most arrhythmias are caused by dysfunction of the autonomic nervous system and are of little clinical significance with little need for anti-arrhythmic drugs. But there are also many arrhythmias, can cause hemodynamic changes, or even life-threatening, must be promptly corrected. Therefore, anesthesiologists are familiar with and master arrhythmia prevention, diagnosis and rational use of anti-arrhythmic drugs is very necessary.