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华西医学  2015 

老年心房颤动患者静脉使用地尔硫控制快速心室率的疗效观察

DOI: 10.7507/1002-0179.20150289, PP. 1003-1006

Keywords: 心房颤动,静脉使用地尔硫,控制心室率

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Abstract:

目的?探讨静脉使用地尔硫控制老年心房颤动(房颤)患者快速心室率(快室率)的疗效和安全性。方法?回顾性收集2014年1月-2015年1月就诊于急诊科的年龄≥70岁快室率房颤且静脉使用地尔硫控制心室率的患者共57例,分析患者的一般情况、用药前后的心室率和平均动脉压变化情况、不良反应等。结果?总有效率92.9%,平均起效时间(13.3±7.3)min,用药前后平均动脉压差异无统计学意义(P>0.05),心功能无明显恶化,仅4例患者(7.0%)出现无症状一过性低血压。结论?对于老年快室率房颤患者,静脉使用地尔硫可快速、有效、持续、安全地控制心室率。

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