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本文报告23例次ATP治疗PSVT的效果,总有效率56.5％,9例次高浓度快速注射者8例转复。器质性心脏病者副作用较多,1例冠心速注高浓度ATP后,发生心室颤动和阿-斯氏综合征。这一结果提示:药物浓度和注射速度是影响疗效的主要因素,PSVT伴AVB者疗效也很低;病因和药物浓度是决定副作用的因素。因此,对于器质性心脏病者,尤其冠心病人,应避免高浓度快速静脉注射ATP。
This article reports the results of 23 cases of ATP treatment of PSVT, the total effective rate of 56.5%, 9 cases of high-concentration rapid injection of 8 cases of recovery. There were more side effects in patients with organic heart disease. One patient had ventricular fibrillation and Asperger’s syndrome after high-concentration infusion of ATP. The results suggest that drug concentration and injection rate are the main factors affecting the efficacy of PSVT with AVB is also very low efficacy; etiology and drug concentration is to determine the side effects of factors. Therefore, for patients with organic heart disease, especially coronary heart disease, should be avoided in high concentrations of rapid intravenous injection of ATP.