《常见心律失常.pptVIP

室扑与室颤的治疗 立即行体外非同步直流电除颤，同时做好心肺复苏的准备 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病态窦房结综合征（SSS） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病窦的心电图特征 严重及持续的窦性心动过缓，且对阿托品，异丙肾上腺素反应较差 窦性停搏和或窦房阻滞 在未用药物情况下，房颤伴缓慢心室率，在房颤发作前及发作后均有窦性心动过缓，窦性停搏或窦房阻滞 房室交界区逸搏心律 心动过缓-心动过速综合征 24小时动态心电图检查显示最快窦性心率小于90次/分，并可伴有上述心律失常 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 窦性停搏及交界性逸搏 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 慢快综合征 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病窦的处理 口服提升心率的药物，常用药为舒氟美（茶碱缓释片），或阿托品，654-2等 纠正引起窦房结功能低下的原因，如电解质紊乱，甲状腺功能减低，禁用抑制窦房结功能的药物。 如出现心动过缓伴有头晕，血压下降时，应立即给予静脉注射阿托品0.5-1mg，或异丙肾上腺素1mg加入500ml生理盐水中静脉点滴以提高患者心率，并在床旁备好临时起搏电极，如药物治疗效果欠佳，应及时安装临时起搏器。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 房室传导阻滞 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Ⅰ度房室传导阻滞 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Ⅱ度Ⅰ型房室传导阻滞 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Ⅱ度Ⅱ型房室传导阻滞 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Ⅲ度房室传导阻滞 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 房室传导阻滞的监护要点 Ⅰ度及Ⅱ度Ⅰ型房室传导阻滞患者一般不需监护，但Ⅱ度Ⅱ型或Ⅲ度房室传导阻滞患者要给予心电图及血压监测，注意心率变化，观察传导阻滞有无进行性加重 注意患者生命体征及血流动力学是否稳定，并将阿托品，异丙肾上腺素，临时起搏器，除颤器等在床旁备好。建立静脉通道 静脉注射及点滴阿托品，异丙肾上腺素时密切注意心电监护上心率的显示，如心率过快应停止或放慢给药速度,药物治疗无效，患者血流动力学处于不稳定状态，应及时安装临时起搏器。 Evaluation only. Creat