当前位置: 首页 > 期刊 > 《中华现代临床医学杂志》 > 2006年第23期 > 正文
编号:11430707
http://www.100md.com 张志勇,程 勇,程春齐,丁 皓,杨雪龄,卞苏风,骆十姐
射频消融;心律失常;室上性心动过速,,],射频消融;心律失常;室上性心动过速,1资料与方法,2结果,3讨论,[参考文献]
     射频消融治疗心律失常30例临床实践与体会 (pdf)

    [摘要] 目的 探讨经导管射频消融(RFCA)治疗快速性心律失常的临床疗效和经验。方法 30例心律失常患者,均行心内电生理检查和经导管射频消融治疗。 结果 房室结折返性心动过速(AVNRT)12例,全部成功;房室折返性心动过速(AVRT)16例全部成功;右室流出道室早1例初次消融失败,再次消融成功;左室分支性室速1例成功消融。 结论 经导管射频消融是治疗室上速安全、有效的根治方法。对一些特殊部位的室早及特发性室速疗效亦确切;电生理基础和导管技术是成功的关键。

    [关键词] 射频消融;心律失常;室上性心动过速

    Clinical evaluation of radiofrequency catheter ablation in fast arrhythmia

    ZHANG Zhi-yong,CHENG Yong,CHENG Chun-qi,et al.

    Department of Cardiology,Suqian Mnicipal People Hospital,Suqian 223800,China

    [Abstract] Objective To explore the efficacy and experience of radiofrequency catheter ablation(RFCA) for fast arrhythmias.Methods Thirty cases had received the electophysiology studies and the treatment of RFCA. Results Atrial-ventricular nodal reentrant tachycardia(AVNRT) were successfully ablated in 12 cases; atrioventricular reentrant tachycardia(AVRT) were successfully ablated in 16 cases; prematrue ventricular contractions originated from right ventricular outflow tract failed initially in 1 case,but succeeded secondly;idiopathic left ventricular tachycardia was successfully ablated.Conclusion RFCA is safe and effective for supraventricular tachycardia, as well as in some premature ventricular contractions and idiopathic ventricular tachycardia; the successful key is rich knowledge of electrophysiology and better technique of catheter ablation.