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目的:探讨预激综合征并发心房颤动的诊断和治疗体会。方法:总结14例患者,分析预激综合征合并心房颤动患者临床表现、心电图及治疗效果。结果:14例患者临床表现复杂多变;心电图特征:心室率160~200次/min,RR间距绝对不等,QRS波增宽呈delta波,QRS波表现为完全预激图形、典型预激图形及正常QRS波的不同组合;给予心律平、胺碘酮药物治疗有良好效果。结论:预激综合征合并心房颤动易诱发室颤导致猝死,是一种严重的心律失常,及时、准确地诊断及治疗非常重要,首选普罗帕酮及胺碘酮复律,有血流动力学障碍及药物疗效不佳时应尽早电复律,禁止使用洋地黄类和异搏定药物。
Objective: To investigate the diagnosis and treatment of WPW syndrome complicated with atrial fibrillation. Methods: Summarizing 14 patients, the clinical manifestations, electrocardiogram (ECG) and therapeutic effect of WPW syndrome in patients with atrial fibrillation were analyzed. Results: The clinical manifestations of 14 patients were complicated and varied. ECG characteristics: ventricular rate was 160 ~ 200 beats / min, RR interval was absolutely unequal, QRS wave broadening was delta wave, QRS wave showed complete pre-excitation pattern, typical pre-excitation pattern And normal QRS wave of different combinations; give heart rhythm, amiodarone drug treatment with good results. Conclusion: Pre-excitation syndrome combined with atrial fibrillation can induce sudden death caused by ventricular fibrillation. It is a serious arrhythmia. It is very important to timely and accurately diagnose and treat cardiopulmonary resuscitation with propafenone and amiodarone cardioversion. Learning disabilities and poor efficacy of drugs should be as soon as cardioversion, digitalis and other drugs prohibit the use of verapamil.