文档介绍：静脉注射胺碘酮治疗急性心肌梗死合并室性心动过速的临床研究
作者:黄照河,蓝景生,潘兴寿,陆启峰,李天资,刘燕,梁燕玲
【摘要】目的观察静脉注射胺碘酮治疗急性心肌梗死合并室性心动过速的临床疗效及其安全性。方法选择急性心肌梗死合并室性心动过速患者29例,静脉注射胺碘酮后观察室性心动过速的控制情况,同时密切观察用药前后血压、心率、PR间期、QRS波时限、QTc间期变化情况及药物的不良反应。结果静脉注射胺碘酮能终止急性心肌梗死合并室性心动过速,%;用药前后患者血压、PR间期、QRS波时限比较差异均无显著性(P>),但心率和QTc间期比较有显著性差异(P<<)。结论静脉注射胺碘酮治疗急性心肌梗死合并室性心动过速患者安全、有效。
【关键词】胺碘酮;心肌梗死;室性心动过速
【Abstract】 Objective To observe the clinical curative effect and its safety of intravenous injection of amiodarone in treatment of acute myocardial infarction(AMI) with ventricular tachycardia(VT).Methods To choose 29 cases of patients suffered from AMI with VT,then observe the releasing of VT after intravenous injection of pressure,heart rate,PR interval,QRS time limit,changing of QTc interval and drug adverse reaction before and after amiodarone injected were observed at the same It could terminate the AMI with VT by intravenous injection of amiodarone,its total effe
ctive rate is %;There are no significant difference of blood pressure,PR interval,QRS time limit before and after amiodarone injected(P>),but significant difference of Heart rate and QTc interval (P< or P<).Conclusion It is safe and effective to treat AMI with VT by intravenous injection of amiodarone.
【Key words】 amiodarone;acute myocardial infarction;ventricular tachycardia
急性心肌梗死(acute myocardial