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心房颤动(下简称房颤)为成人最常见的心律失常之一。持续性房颤常带来严重的血液动力学障碍,房颤本身就可使心搏量降低25～33%,冠状动脉血流量减少40%,因而易诱发或加重心力衰竭;房颤又常使患者心悸不安,也易发生动脉栓塞,因此常需转复为窦性心律。2年多以来,我们采用经改进的奎尼丁并用心得安方法快速转复房颤28例,其中4例2次复律,1例3次复律,共34例次,近期疗效较好,现报道如下:
Atrial fibrillation (AF) is one of the most common arrhythmias in adults. Persistent atrial fibrillation often leads to severe hemodynamic disorders, atrial fibrillation itself can be reduced by 25 to 33% of stroke volume, coronary blood flow decreased by 40%, which is easy to induce or aggravate heart failure; atrial fibrillation and often Patients palpitations uneasy, but also prone to arterial embolism, often need to be converted to sinus rhythm. For more than two years, we have used modified quinidine and enoxaparin to rapidly atrial fibrillation 28 cases, of which 4 cases of 2 cardioversion, 1 case of 3 cardioversion, a total of 34 cases, the recent curative effect is better, Reported as follows now: