二尖瓣分离术期间的心律失常。

Arrhythmia during mitral commissurotomy.

作者信息

Sliwiński M, Rydlewska-Sadowska W, Hoffmann M, Soczek-Michalska J, Holdrowicz M, Falencik M, Kamiński P, Biederman A

出版信息

Anaesth Resusc Intensive Ther. 1975 Oct-Dec;3(4):315-24.

Abstract

The authors studied in detail arrhythmias recorded during 110 operations of mitral commissurotomy. In all cases supraventricular and ventricular arrhythmias developed and their type, as well as frequency, depended on the stage of operation. Life-endangering ventricular arrhythmias (ventricular flutter or fibrillation) were never observed and ventricular tachycardia occurring when the orifice was being dilated always regressed spontaneously when a Dubost dilator was removed. Rapid differential diagnosis of arrhythmias is facilitated greatly by additional ECG recording from oesophageal lead. Indications for pharmacological treatment are discussed. This treatment was used, however, in several cases only.

摘要

作者详细研究了110例二尖瓣交界切开术过程中记录的心律失常情况。在所有病例中均出现了室上性和室性心律失常，其类型及发生率取决于手术阶段。从未观察到危及生命的室性心律失常（室性扑动或颤动），并且在扩张瓣口时出现的室性心动过速在移除杜博斯特扩张器后总是会自行消退。通过食管导联额外记录心电图，可极大地促进心律失常的快速鉴别诊断。文中讨论了药物治疗的指征。然而，仅在少数病例中使用了这种治疗方法。