Carroll W D, Willis T A
Department of Paediatrics, City General Hospital, Stoke on Trent, ST10 1UQ, UK.
Emerg Med J. 2002 Jul;19(4):358-9. doi: 10.1136/emj.19.4.358.
Two cases are described of cardioversion from stable supraventricular tachycardia after venepuncture. In both cases usual vagal manoeuvres at home and in the casualty department were unsuccessful. However, attempts to site intravenous cannulas by the attending medical staff terminated his supraventricular tachycardia. Venepuncture is probably the commonest vagal manoeuvre performed in hospital but has not previously been reported as a method of cardioversion.
本文描述了两例静脉穿刺后由稳定的室上性心动过速转复为窦性心律的病例。在这两例中,患者在家中及急诊科尝试常规迷走神经刺激法均未成功。然而,主治医护人员尝试进行静脉置管时终止了患者的室上性心动过速。静脉穿刺可能是医院里最常用的迷走神经刺激法,但此前尚未有作为一种转复方法的报道。