胺碘酮治疗急性心肌梗死并发心律失常20例临床分析.docVIP

精品论文 参考文献 胺碘酮治疗急性心肌梗死并发心律失常20例临床分析 王亮1,2戴振华2 　　1江苏省公安消防总队门诊部210000; 　　2江苏省南京医科大学第一附属医院江苏南京210000 　　【摘要】 　　目的:探讨胺碘酮静脉用药治疗急性心肌梗死并发心律失常的临床效果及安全性。方法:将39例急性心肌梗死并发心律失常患者随机分成两组，两组在原有的治疗基础上，治疗组（20例）加用胺碘酮静脉用药，对照组加用2%的利多卡因静脉用药。观察两组患者用药2h内心律失常控制疗效。结果:治疗组总有效率（90%）明显高于对照组（7368%）,Plt;005; 治疗组用药后显效率(625%)高于对照组(3158%),Plt;001;不良反应轻微。结论:胺碘酮静脉用药治疗急性心肌梗死并发心律失常效果良好，不良反应轻，持续时间短，但应在密切的心电血压的监控下进行。 　　【关键词】胺碘酮；急性心肌梗死；心律失常 　　Amiodarone in treatment of acute myocardial infarction complicated with cardiac arrhythmias of 20 cases of clinical analysis 　　Wang liang1，2；Dai Zhenhua2( 　　1 Province public security fire department outpatient department in jiangsu 2，Nanjing medical university first affiliated hospital of jiangsu province) 　　【Abstract】 　　objective to investigate the amiodarone intravenous drug treatment of acute myocardial infarction complicated with cardiac arrhythmia in clinical efficacy，and safety. methods the 39 patients with acute myocardial infarction complicated with cardiac arrhythmias were randomly divided into two groups，two groups on the basis of the original treatment，the treatment group (20 cases）combined with amiodarone intravenous drug use，the control group with 2% lidocaine intravenous drug use. Observe two groups of patients with medication arrhythmia within 2 h control effect. Result the treatment group total effective rate (90%）is significantly higher than the control group (7368%)，P lt; 005; Treatment group after significant efficiency (625%）than the control group (3158%)，P lt; 001; Mild adverse reactions. Conclusion amiodarone intravenous drug treatment of acute myocardial infarction complicated with cardiac arrhythmia effect is good，the bad reaction，short duration，but should be under close ecg monitoring of blood pressure. 　　【Key words】amiodarone; Acute myocardial infarction; Arrhythmia. 　　【中图分类号】R5422+2 　　【文献标识码】B【文章编号】16748999(2013)12005001 　　急性心肌梗塞并发心律失常心律失常是急性心肌梗塞最常见的并发症，见于75%～95%的急性心肌梗死患者［1］，多发生在起病1～2天，而以24小时内最多见，可伴乏力、头晕、晕厥等症状。 各种心律失常中以室性心律失常最多，