CAJ | 학술논문

目的：探讨急诊终止顽固性快速性心律失常的办法。方法：总结回顾太和医院急诊科5年来急诊终止快速性心律失常的病例117例的资料。结果：117例患者心律失常均被急诊终止，21例（17.9％）经过2种以上的方法处理急性终止（其中室上速12例，室速5例，房扑1例，房颤3例），被认定为顽固性快速性心律失常患者中5例（23.8％）经过同步电击复律终止。结论：终止快速性顽固性心律失常需要有个体化的处理策略，先药物后电击复律，必要时直接电击复律。
목적：탐토급진종지완고성쾌속성심률실상적판법。방법：총결회고태화의원급진과5년래급진종지쾌속성심률실상적병례117례적자료。결과：117례환자심률실상균피급진종지，21례（17.9％）경과2충이상적방법처리급성종지（기중실상속12례，실속5례，방복1례，방전3례），피인정위완고성쾌속성심률실상환자중5례（23.8％）경과동보전격복률종지。결론：종지쾌속성완고성심률실상수요유개체화적처리책략，선약물후전격복률，필요시직접전격복률。
Objective:To explore the methods of emergency terminating refractory tachyarrhythmia.Methods:Data of 117 cases,Who received emergency termination of tachyarrhythmia in emergency department of Taihe Hospital in the last five years,Were summarized and revieWed.Results:All 117 cases With tachyarrhythmia Were successfully terminated in emergency.A total of 21 cases (17.9%)Were successfully terminated in emergency using tWo or more methods (12 cases With supraventricular tachycardia,five cases With ventricular tachycardia,one case With atrial flutter and three cases With atrial fibrillation),in these patients concluded as refractory tachyarrhythmia,five pa-tients (23.8%)Were terminated via synchronous electrical cardioversion.Conclusion:Termination of refractory tachyarrhythmia needs individualization treatment strategy,its treatment may be drugs first and then electrical car-dioversion,or electrical cardioversion directly if necessary.