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心脏瓣膜替换术后尖端扭转型室性心动过速的治疗经验
THE EXPERIENCE IN TREATMENT FOR TORSADES DE POINTES FOLLOWING HEART VALVE REPLACEMENT
【摘要】 1990年1月至1994年1月,行心脏瓣膜替换术752例,9例术后发生尖端扭转型室性心动过速,发生率1.2%,全部患者治愈。发生原因主要是低钾血症、低镁血症和心动过缓。诊断主要依靠心电图,治疗主要是静脉给予异丙肾上腺素、钾盐和硫酸镁。
【Abstract】 From January 1990 through January 1994 ,Nine of the 752 patients underwent valve replacement developed torsades de pointes postoperatively. The incidence was 1. 2/00. The most frequent cause is hypokalemia. Torsades de pointes is diagnosed by electrocardiogram , and could be treated effectively by isoproterenol,potassium ,and MgSO4.
- 【文献出处】 中国循环杂志 ,CHINESE CIRCULATION JOURNAL , 编辑部邮箱 ,1995年12期
- 【分类号】R541.71
- 【被引频次】1
- 【下载频次】21