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预激综合征并发阵发性室上性心动过速是心血管急症之一,有时治疗颇为棘手。我院自1985～1988年应用三磷酸腺昔(ATP)治疗本病10例,获满意效果,报告如下。方法和结果本组男6例,女4例,年龄16～65岁,平均33.5岁.病程2个月至11年不等,本次发作至就诊时间最短25分钟,最长7小时,平均1.5小时.合并冠心病2例.其余未见器质性心脏病.心电图及经食道心脏电生理检查,房室旁路(kent束)折返型心动过速7例,濒率167～210次/分,其中顺向型AVRT 2例,逆向型AVRT 5例,L-G-L型3例,频率178～204次/分。本组8例一开始即用ATP:2例经机械方法
Wolff-Parkinson-White syndrome complicated with paroxysmal supraventricular tachycardia is one of the cardiovascular emergency, and sometimes quite difficult to treat. Our hospital from 1985 to 1988 the application of adenosine triphosphate (ATP) treatment of the disease in 10 cases, satisfactory results, the report is as follows. Methods and Results The group of 6 males and 4 females, aged 16 to 65 years old, an average of 33.5 years of age. The duration of 2 months to 11 years, the onset of treatment to the shortest 25 minutes, up to 7 hours, an average of 1.5 Hour.Coronary heart disease in 2 cases.Other no organic heart disease.Electrocardiogram and transesophageal cardiac electrophysiological examination, atrioventricular (kent beam) reentrant tachycardia in 7 cases, the end of the rate of 167 to 210 beats / min , Including 2 cases of forward AVRT, 5 cases of reverse AVRT, 3 cases of LGL, frequency of 178 ~ 204 beats / min. The group of 8 patients started with ATP: 2 cases by mechanical methods