Ⅲ度房室传导阻滞某些临床问题探讨(附23例报道)

• 作 者: 关慧灵 黄正文 刘建恩 刘金铎 刘建庄 张素荣 赵国安
• 机 构: 新乡医学院一附院心内科,新乡医学院一附院心内科,新乡医学院一附院心内科,新乡医学院一附院心内科,新乡医学院一附院心内科,新乡医学院一附院心内科,新乡医学院一附院心内科,
• 出 处: 新乡医学院学报
• 发表日期: 1991年04期
• 关键词: 临时心脏起搏 下壁心肌梗塞 病毒性心肌炎 药物复律 心肌硬化 电复律 心电图诊断 发生者 房室传导阻滞 室性心律失常

我们对23例心电图诊断为Ⅲ度房室传导阻滞者进行临床病因和治疗等方面的分析。结果显示:<40岁组病因以心肌炎症病变为主(55％),少数属于先天性;≥40岁组,急性发生者以冠心病急性下壁心肌梗塞所致者为主;慢性持久性者以冠心病心肌硬化、心肌病及原因不明的心脏支架变性和纤维化所致者为主。应用糖皮质激素、临时心脏起搏对抢救急性病毒性心肌炎合并阿—斯综合征有效;对伴双结病变的室性心动过速可在临时心脏起搏保驾下电复律或药物复律。

We analyzed 23 cases of electrocardiographic diagnosis of Ⅲ degree atrioventricular block and other aspects of clinical etiology and treatment. The results showed that: the cause of myocardial infarction in the group of <40 years old was predominant (55%), a few were congenital; the group of ≥40 years old was mainly caused by acute inferior myocardial infarction of coronary heart disease; the chronic persistent To coronary heart disease, myocardial disease, and unexplained cardiac stent degeneration and fibrosis caused by the main. Application of glucocorticoid, temporary cardiac pacing on the rescue of acute viral myocarditis combined with Asin Syndrome effective; with double junction lesions of ventricular tachycardia in temporary cardiac pacing escort cardioversion or drug cardioversion.