房颤发作时血流动力学不稳定,临床症状重或同时伴有病窦综合征,使用药物或其他治疗方法不理想,称为难治性房颤。可选择经皮射频消融房室结后加双腔起搏器植入术治疗。现将我院2例分析如下。1病历摘要例1:女,68岁。反复心慌6 a。诊断为:(1)病态窦房结综合征;(2)阵发性房扑、房颤 Atrial fibrillation hemodynamic instability, clinical symptoms or accompanied by sick sinus syndrome, the use of drugs or other treatment is not ideal, known as refractory atrial fibrillation. Can choose percutaneous radiofrequency ablation plus dual-chamber pacemaker implantation. Now my hospital 2 cases as follows. 1 case summary 1: female, 68 years old. Repeated flustered 6 a. Diagnosis: (1) sick sinus syndrome; (2) paroxysmal atrial flutter, atrial fibrillation