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目的:胺碘酮静注对快室率房颤的疗效观察。方法:给予胺碘酮150mg、负荷量200mg溶于生理盐水20ml中,于15分钟内缓慢静注,继之以450mg溶于250mi盐水中持续静点。心律转复为窦性心律即减量为400mg/d(分2次服)。此后视情况可进一步减量至每周200mgX5日。结果:在静脉用胺碘酮24小时内,40例转为窦性心律,10例未转复者的心室率降至100次/min以下,心功能亦改善。结论:胺碘酮用于快室率房颤的治疗不仅安全可靠,而且效果也令人满意。
Objective: To observe the curative effect of intravenous amiodarone on fasting atrial fibrillation. Methods: Give amiodarone 150mg, load 200mg dissolved in 20ml of normal saline, slow intravenous injection within 15 minutes, followed by 450mg dissolved in 250mi saline continuous static point. Cardioversion for sinus rhythm that is reduced to 400mg / d (2 times service). Depending on the circumstances may be further reduced to 200mgX5 days a week. Results: In 24 hours after intravenous amiodarone, 40 cases were converted to sinus rhythm, 10 cases of non-transfusion ventricular rate decreased to 100 beats / min, heart function also improved. Conclusion: Amiodarone is not only safe and reliable, but also satisfactory in the treatment of AF.