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自1989年以来,我们用普罗帕酮和氨酰心安治疗42例室上性心动过速病人,疗效较好。病人年龄15~56岁,平均37岁;病程1~4年,每月发作2~10次。其中房室结折返性心动过速(AVHRT)25例,房室折返性心动过速(AVRT17例,均经食管电生理检查确诊。 治疗方法:在持续心电、血压监护下,缓慢静注普罗帕酮1.5~2mg/kg(5~10分钟)。复律者随即重复诱发试验,不能诱发或仅诱发短阵性室上速者为有效。将普罗帕酮治疗有效者随机均分为两组:治疗组口服普罗帕酮0.15~0.2g,3次/d;
Since 1989, we have treated 42 patients with supraventricular tachycardia with propafenone and atenolol, with good efficacy. Patients aged 15 to 56 years old, an average of 37 years of age; duration of 1 to 4 years, 2 to 10 episodes per month. Atrioventricular nodal reentrant tachycardia (AVHRT) in 25 cases, atrioventricular reentrant tachycardia (AVRT in 17 cases, were confirmed by esophageal electrophysiological examination.) Treatment Methods: With continuous ECG, blood pressure monitoring, slow intravenous propofol Paroxetine 1.5 ~ 2mg / kg (5 ~ 10 minutes.) Cardioversion patients then repeated induction test, can not induce or only induced shortness of ventricular tachycardia who are effective propafenone treatment were randomly divided into two Group: The treatment group oral propafenone 0.15 ~ 0.2g, 3 times / d;