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硫酸镁用于转复对静脉注射腺苷无效的室上性心动过速。

Magnesium sulfate for conversion of supraventricular tachycardia refractory to intravenous adenosine.

作者信息

LeDuc T J, Carr J D

机构信息

Broward County Human Services Division of Fire Rescue, Fort Lauderdale, Florida 33312-1308, USA.

出版信息

Ann Emerg Med. 1996 Mar;27(3):375-8. doi: 10.1016/s0196-0644(96)70275-5.

DOI:10.1016/s0196-0644(96)70275-5
PMID:8599503
Abstract

The use of magnesium sulfate infusion for the management of cardiac dysrhythmia has recently gained popularity. Magnesium sulfate has been advocated for the management of torsade de pointes and other ventricular dysrhythmias. We report the case of a 38-year-old firefighter with atrial tachycardia that was treated unsuccessfully according to Advanced Cardiac Life Support guidelines with IV adenosine. Subsequently, 2 g of magnesium sulfate was administered intravenously over 5 minutes with resulting conversion of the patients' supraventricular tachycardia to normal sinus rhythm, with complete resolution of symptoms.

摘要

硫酸镁输注用于治疗心律失常最近受到了广泛关注。硫酸镁已被推荐用于治疗尖端扭转型室速和其他室性心律失常。我们报告了一例38岁消防员的病例,该患者患有房性心动过速,根据高级心血管生命支持指南静脉注射腺苷治疗无效。随后,在5分钟内静脉注射2克硫酸镁,患者的室上性心动过速转为正常窦性心律,症状完全缓解。

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