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目的 :探讨不同药物即时转复阵发性心动过速 (PSVT)患者的疗效及安全性。方法 :对 178例PSVT患者随机分为六种药物治疗。结果 :PSVT转复例次率普罗帕酮为 97.7% ,阿拉明94 .4 % ,维拉帕米 93.3% ,ATP85.7% ,罗通定 76 .4 % ,硫酸镁 58.1% ,副反应例次率普罗帕酮最低9.3% ,其次维拉帕米 15.6 % ,阿拉明 16 .7% ,硫酸镁 4 6 .5% ,罗通定 55.9% ,ATP最高 6 6 .7%。结论 :普罗帕酮转复率最高 ,副作用最低 ,为PSVT复律的首选药物。
Objective: To investigate the efficacy and safety of different drugs in patients with immediate recovery of paroxysmal tachycardia (PSVT). Methods: 178 patients with PSVT were randomly divided into six kinds of drug treatment. Results: The PSVT conversion rate of propafenone was 97.7%, Alamin 94.4%, Verapamil 93.3%, ATP85.7%, Rotundine 76.4%, Magnesium Sulfate 58.1%, Side reactions The lowest rate of propafenone was 9.3%, followed by verapamil 15.6%, alamin 16.7%, magnesium sulfate 46.5%, Rotundine 55.9% and ATP up to 6.67%. Conclusion: Propafenone has the highest conversion rate and the lowest side effect, which is the first choice of PSVT cardioversion.