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旁路切除术是治愈有症状的预激综合症(WPW)的方法之一。本文评价手术的长期效果及出院前电生理检查对旁路切除患者远期疗效的预测价值。方法 113(男82,女31)例受试者年龄36±13(4~58)岁,其中61例(54%)为显性预激,52例(46%)为隐匿预激。术前均有快速心律失常,除1例外均为房室折返性。12例患者为多条旁路。60%的患者旁路位于左室游离壁,22%位于右室游离壁,13%位于后间隔,5%位于前间隔。术后10±3(5~20)天患者,尚未用抗心律失常药时,进行出院前电
Bypass resection is one of the ways to cure symptoms of pre-excitation syndrome (WPW). This article evaluates the long-term effects of surgery and the predictive value of electrophysiological examination before discharge to the long-term efficacy of bypass surgery. Method 113 (male 82, female 31) subjects were 36 ± 13 (4-58) years old, of whom 61 (54%) were dominant pre-excitation and 52 (46%) were premedication. Preoperative fast arrhythmia, with the exception of an exception are atrioventricular reentrant. 12 patients with multiple bypass. Sixty percent of patients were located in the left ventricular free wall, 22% in the right ventricular free wall, 13% in the posterior septum, and 5% in the septum. Patients after 10 ± 3 (5 ~ 20) days after surgery had not been treated with anti-arrhythmic drugs before discharge