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作者曾对3例患者应用经食管低能量同步直流电治疗心房颤动(简称房颤)4次,均获成功。例1 男性49岁,诊断风湿性心脏病二尖瓣狭窄,心功能Ⅱ级。因持续房颤3月收入院行上法复律成功,术后随访3月仍为窦性心律。例2 男性54岁,诊断冠心病,心功能Ⅱ级。持续房颤8个月,入院后行上法40J复律未成功,改用80J后恢复窦性心律。术后口服异搏定40mg,一天三次,4天后房颤复发再次以本法复律,40J复律仍不成功,改用80J后转为窦性心律。术后口服双异丙吡胺0.2g,一天三次,一周后减为0.1g,一天三次,维持3周窦性心律出院。
The authors have used three cases of patients with transesophageal low energy synchronous DC treatment of atrial fibrillation (referred to as atrial fibrillation) 4 times, were successful. Example 1 Male 49 years old, diagnosed rheumatic mitral stenosis, cardiac function grade Ⅱ. Due to sustained atrial fibrillation income in March hospital on cardioversion success, follow-up of March is still sinus rhythm. Example 2 Male 54 years old, diagnosis of coronary heart disease, grade Ⅱ heart function. Continuous atrial fibrillation for 8 months after admission, the law 40J cardioversion was unsuccessful, switch to sinus rhythm after 80J. After oral administration of verapamil 40mg, three times a day, 4 days after the recurrence of atrial fibrillation cardioversion again, 40J cardioversion is still unsuccessful, switch to sinus rhythm after 80J. Postoperative oral double clomazone 0.2g, three times a day, reduced to 0.1g a week later, three times a day, to maintain sinus rhythm discharged for 3 weeks.