【摘要】 <正> 本文报道1980年以来,本院用药物或直流电转复房颤病人200例次的临床资料,着重讨论房颤转复适宜中有关Ⅱ°A-VB(Ⅱ度房室传导阻滞、以下同),左房大小,X线心胸比例,房颤持续时间以及转复的合并更多还原

【Abstract】 By means of conventional quinidine,small dosage quinidine plus isoptin,amioda-rone and DC cardioversion,200 cardioversions of atrial fibrillation were reported.The successful rates were respectively 72.8,74,36.6,95.5 per cent.The diagnosis ofatrial fibrillation with Ⅱ° A-VB in rheumatic valve disease was emphasized.It was suggested that if the maximal ventricular rate per minute reached 125.1±1.96S (S=22.84) and the maximal ventricular rate per minute minus the minimal ven-tricular rate reached 65.2±1.96S (S=19.93) in rheumatic heart disease,it was not pa-thogenic:Ⅱ° A-VB,and was not a contraindication for cardioversion of atrial fibrilla-tion,although R-R interval time was over 1.5 second.Out of the above-mentioned four methods,DC cardioversion was the best one,whichwas safe and easy to operate,effective and quick in gaining the result.The methodof small dosage quinidine plus isoptin was suggested,if medicine cardioversion be ne-cessary.An analysis of the complications of DC cardioversion and quinidine foratrial fibrillation was made.更多还原