Zuheng Cheng, 木胡牙提, 马依形, 汤宝鹏, 张爱伦
Abstract
目的观察并发于充血性心力衰竭的心房颤动(房颤)伴快心室反应的患者静脉注射胺碘酮的有效性及安全性.方法对85例充血性心力衰竭并发房颤伴快心室反应患者,首次剂量给予胺碘酮3 mg/kg,15min后无效再补半剂突击量.维持量为600mg胺碘酮稀释于500ml生理盐水中静脉点滴24 h.结果突击负荷量150～300(180±37)mg,有效率为77.6%,副作用发生率为8.2%,无心功能恶化.结论静脉注射胺碘酮治疗并发于充血性心力衰竭的房颤伴快心室反应是有效且较安全的方法.
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目的观察并发于充血性心力衰竭的心房颤动(房颤)伴快心室反应的患者静脉注射胺碘酮的有效性及安全性.方法对85例充血性心力衰竭并发房颤伴快心室反应患者,首次剂量给予胺碘酮3 mg/kg,15min后无效再补半剂突击量.维持量为600mg胺碘酮稀释于500ml生理盐水中静脉点滴24 h.结果突击负荷量150～300(180±37)mg,有效率为77.6%,副作用发生率为8.2%,无心功能恶化.结论静脉注射胺碘酮治疗并发于充血性心力衰竭的房颤伴快心室反应是有效且较安全的方法.
Key concepts: Heart failure, Medicine, Atrial fibrillation, Amiodarone, Cardiology, Internal medicine