论文部分内容阅读
报告18例由Q－T延长所致尖端扭转型室性心动过速的急诊治疗。根据发病前的精神状态和心电监护中于发作前、中、后心电图变化，可将其分为间歇依赖型和肾上腺素能神经依赖型两种类型。根据不同类型分别采用异丙肾上腺素，利多卡因，β－受体阻滞剂，补充钾盐、镁盐及埋值心脏临时起搏器，电除颤复律术等措施，18例均恢复窦性心律。需特别指出，心律平治疗1例本病时，病情恶化为室颤，立即采用电除颤复律术才获抢救成功。
18 cases of acute torsades de pointes ventricular tachycardia due to Q-T prolongation were reported. According to the premorbid state of mind and ECG in the attack before, during and after ECG changes, it can be divided into intermittent dependence and adrenergic nerve-dependent two types. According to different types of isoproterenol, lidocaine, β-blockers, potassium supplements, magnesium salts and temporary cardiac pacemaker, defibrillation and other measures, 18 cases were restored Sinus rhythm. It should be specifically pointed out that the treatment of heart disease 1 case of the disease, the condition worsened to ventricular fibrillation, immediate use of defibrillation cardioversion was rescued successfully.