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目的探讨宽QRS波心动过速患者的临床诊治方法,提高临床抢救水平。方法回顾性分析丽江市人民医院自2007-03-2010-10收治的180例宽QRS波心动过速患者的临床资料,总结临床诊治方法。结果本组180例患者经药物治疗后复律135例,复律时间为30s～15min,平均4.5min;其余45例患者给予射频和起搏治疗,38例患者复律成功,7例患者治疗无效死亡,病死率为3.9%。103例患者复律后自行出院,70例患者住院观察,住院时间为3～14d,平均6.8d。住院期间复发3例,其余均无复发。结论宽QRS波心动过速在临床较为常见,临床容易误诊、误治,及时给予准确诊断和治疗后有利于改善患者预后、降低病死率。
Objective To investigate the clinical diagnosis and treatment of patients with wide QRS tachycardia and improve the level of clinical rescue. Methods The clinical data of 180 patients with wide QRS tachycardia admitted to Lijiang People’s Hospital from 2007-03-2010-10 were analyzed retrospectively to summarize the clinical diagnosis and treatment methods. Results The group of 180 patients recovered 135 cases of cardioversion after cardioversion, cardioversion time was 30s ~ 15min, an average of 4.5min; the remaining 45 patients given radiofrequency and pacing therapy, 38 patients successfully cardioversion, 7 patients were ineffective Death, fatality rate was 3.9%. 103 patients discharged spontaneously after cardioversion, 70 patients were hospitalized, hospitalization for 3 ~ 14d, an average of 6.8d. Recurrence during hospitalization in 3 cases, the rest were no recurrence. Conclusions The wide QRS tachycardia is more common in clinical practice. It is easy to misdiagnosis and misdiagnosis in clinic. It is helpful to improve the prognosis and reduce the mortality after accurate diagnosis and treatment in time.