房颤射频消融术后并发房速临床治疗及进展.docVIP

房颤射频消融术后并发房速临床治疗及进展[摘要]房颤是最为常见的持续性心律失常，房颤已成为目前严重的危害老年人健康的常见病、多发病，并越来越引起人们的重视。随着年龄的增长，其发病率也逐渐升高，房颤会带来许多严重的并发症，引起偏瘫、意识障碍、生活不能自理，重者导致死亡，目前大量的研究和临床表明，房颤射频消融是近年来一项发展很快的治疗技术，适应证的范围不断扩大，心律失常采用射频消融治疗是目前公认的最好的治疗方式，也是目前治愈最彻底的方式，房颤射频消融术后并发症治疗尤为重要，房颤射频消融术后并发房速是临床有待研究的课题之一，现就房颤射频消融术的发展现状、临床治疗新进展综述如下。 [关键词]房颤射频消融术；并发房速 [中图分类号] R541.7 [文献标识码]A [文章编号] 1005-0515（2010）-12-214-01 progress of clinical treatmentabout Concurrent Atrial tachycardia after atrial fibrillation radio-frequency catheter ablation [Abstract]Atrial fibrillation is the most common sustained arrhythmia, atrial fibrillation has become common illness and frequently occurring illness that seriously harm elderly health, and has drawn increasingPeople’s attention. With age, the incidence rate of Atrial fibrillation has gradually increased, atrial fibrillation will bring many serious complications, causing paralysis and unconsciousness, and patient do not take care of themselves in life and resultin death in serious cases,At present ,a lot of clinical research indicated thatatrial fibrillation radio-frequency catheter ablation is a rapid development treatment technic in recent years, and the range of indications is expanding , currently radio-frequency catheter ablation is the best treatment way and the most thorough way to arrhythmia. It is particularly important to treat Concurrent Atrial tachycardia after atrial fibrillation radio-frequency catheter ablation. It is one of the topics to be studied clinically. Now, to summarize to the current development of new clinical advances of radio-frequency catheter ablation. [Keywords] radio-frequency catheter ablation； Atrial tachycardia 1 房颤射频消融术的概况 1.1房颤射频消融术房颤射频消融术是指用射频能量来破坏心脏异常起搏点或电传导通路的方法，所谓射频能量是一种高频无线电能量，与人体组织接触后可产生热能，从而破坏组织。房颤射频消融治疗是房颤导管消融治疗的其中一种，房颤导管消融治疗是指利用包括射频、冷冻和超声等能量消融引起房颤发生和传导的组织，从而根治房颤。 1.2 房颤射频消融术分类射频消融是近年来一项发展很快的治疗技术，适应证的范围不断扩大，房颤射频消融治疗是房颤导管消融治疗方法的其中之一，房颤导管消融治疗是目前发展最快的治疗方法，主要包括以下几种，即肺静脉前庭电隔离术、肺静脉电隔离术和左心房线性消融术，还包括以心房内碎裂电位作为靶点的消融及去迷走神经消融等。目