多巴胺治疗阵发性室上性心动过速伴低血压30例效果观察.PDFVIP

HAINAN MEDICAL JOURNAL Vol.23 No.22 November 2012 doi:10.3969/j.issn.1003-6350.2012.22.020 ·临床经验· 多巴胺治疗阵发性室上性心动过速伴低血压30 例效果观察 陈 倩，刘景峰，陈 锋，胡卫民 (北京市房山区良乡医院急诊科，北京 102401) 【摘要】 目的 观察多巴胺对伴低血压的室上性心动过速的治疗效果。方法 符合入选标准的患者60 例， 随机分为多巴胺组(DA 组) 30 例和三磷酸腺苷组(ATP 组) 30 例。比较两组的成功率、转复时间及不良反应发生 率。结果 DA 组有效率为86.67% ，平均转复时间为(5.42±2.39) min ，恶心呕吐等不良反应发生率为66.67% 。 ATP 组有效率为86.67% ，平均转复时间为(7.38±2.32) min ，恶心呕吐胸闷等不良反应发生率为93.33%。结论 多 巴胺转复伴低血压的PSVT 效果优于ATP ，不良反应少，可作为拒绝电复律治疗时终止伴低血压的室上性心动过 速患者的转复药物。 【关键词】 阵发性室上性心动过速；低血压；多巴胺；三磷酸腺苷 【中图分类号】R544.2 【文献标识码】A 【文章编号】 1003—6350（2012 ）22—056—03 Clinical study on therapeutic efficacy of Dopamine in 30 patients with paroxysmal supraventricular tachycardia combined with hypotension. CHENQian,LIUJing-feng,CHENFeng,HUWei-min.Departmentof Emergency,LiangxiangHospitalofFangshanDistrictofBeijingCity,Beijing102401,CHINA 【Abstract 】 Objective To observe the therapeutic efficacy of Dopamine in patients with paroxysmal supra- ventricular tachycardia (PSVT) combined with hypotension. Methods Sixty patients with PSVT combined with hy- potension were discerned into two groups: the Dopamine group and the ATP group, each with 30 patients. The success rate, time of conversion and incidence of adverse reactions were compared between the two groups. Results The suc- cess rate, time of conversion, incidence of adverse reactions were 86.67%, (5.42±2.32) min, 66.67% in the Dopamine group, and 88.46%, (7.38±2.32) min, 93.33% in the ATP group, respectively. Conclusion The therapeutic efficacy of Dopamine is better than ATP for patients with PSVT combined with hypotension, with less adverse reactions. It can be used to te