电复律治疗室性心动过速21例临床疗效分析

目的：本文对2l例采用急诊电复律治疗的室性心动过速进行分析，观察其有效性、安全性和临床实用性。方法：病例选择年龄≤45岁；以往无窦房结功能不良记录；室性心动过速伴有血流动力学障碍或药物不能终止。选择同步复律50-100J。非同步复律100-200J。结果：21例中复律成动18例，成功率85．7％。21例均未出现电复律所致的并发症。结论：急诊电复律治疗室性心动过速具有快速复律、安全可靠、操作简便、复律成功率高、副作用和并发症少等优点。

Analysis of Regularizing Twenty-one Ventricular Tachycardia Cases by Cardioversion

AIM: The artile tells about the analysis of regularizing twenty-one ventricular tachycardia cases by cardioversion and the observation about its efficiency, safety and function in clinical practice. METHODS: Those whose age are under 45 years old (including 45-year-old people) have been observed; those who never have documentary on poor function in sinus node and those who have ventricular tachycardia which can't be stopped by medicine or is followed by obstacle of bloodstream dynamics. In synchronous cardioversion 50-100J is needed, 100-200J is needed in non-synchronous cardioversion. RESULTS: 18 cases of 21 cases are successful. The rate is hign to 85.7 percent and no complication caused by cardioversion has been found. CONCLUSION: The approach above has the advantages of being fast, safety, convenience in operation, high rate of success and being low in complication and side effect.