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本文对81例病态窦房结综合征的诊断、治疗及预后进行简要分析。典型病例根据临床症状及常规心电图即可诊断,不典型者则需观察一系列心律失常及不同时期的心电图改变并结合窦房结功能检查作出诊断。本组病因以不明原因者居多数,冠心病次之。治疗从针对病因及提高心率两方面进行,除2例死亡外,其余均有不同程度好转。对药物治疗无效者应安置永久埋藏式心室按需型起搏器,对B-TS应用抗心动过速起搏器(PASAR),可明显提高疗效。
In this paper, 81 cases of sick sinus syndrome diagnosis, treatment and prognosis of a brief analysis. Typical cases based on clinical symptoms and conventional electrocardiogram can be diagnosed, atypia were required to observe a series of arrhythmia and ECG changes in different periods combined with the diagnosis of sinus node function test. This group of etiological factors for the majority of unknown reasons, followed by coronary heart disease. Treatment for the cause and improve heart rate from two aspects, in addition to two deaths, the rest have varying degrees of improvement. Invalid drug treatment should be placed permanent buried ventricular on-demand pacemaker, B-TS application of anti-tachycardia pacemaker (PASAR), can significantly improve the efficacy.