CAJ | 학술논문

目的：探讨阵发性室上性心动过速的临床特征，总结其诊治经验。方法：对阵发性室上性心动过速30例临床资料进行分析。结果：宽QRS波型3例，窄QRS波型27例。用药物(三磷酸腺苷、异搏定、西地兰、阿拉明)复律26例，成功22例，食道调搏超速抑制复律3例，电复律3例，按压颈动脉窦复律1例，自动复律1例。30例全部复律成功。结论：阵发性室上性心动过速根据病人的具体情况选择不同的复律方法。
목적：탐토진발성실상성심동과속적림상특정，총결기진치경험。방법：대진발성실상성심동과속30례림상자료진행분석。결과：관QRS파형3례，착QRS파형27례。용약물(삼린산선감、이박정、서지란、아랍명)복률26례，성공22례，식도조박초속억제복률3례，전복률3례，안압경동맥두복률1례，자동복률1례。30례전부복률성공。결론：진발성실상성심동과속근거병인적구체정황선택불동적복률방법。
Objective: To analyze clinical features of patients with paroxysmal supraventricular tachycardia(PSVT),so as to summarize the experience of diagnosis and treatment on PSVT.Methods:Clinical data of 30 cases with PSVT were analyzed. Results:Of 30 cases,3 with wide complex tachycardia,27 with narrow complex tachycardia. Of 26 cases treated with drug(Triphosadenine, Verapamil, Lanatoside C, Aramine),22 were recoveried.3 cases were treated through transesophageal atrial pacing.3 cases were treated with electrical cardioversion. 1 case were treated with carotid sinus massage.1 case were recovered automatically without any medical treatment.All patients were cured successfully.Conclusion:Therapeutic regime should be tailored for the patients with PSVT on the basis of their situation.