心房颤动经导管射频消融术并发急性心脏压塞的临床分析
投稿时间:2017-10-31  修订日期:2017-11-07  点此下载全文
引用本文:韩丽军,王珏雅,李娟,李蒙,林涛.心房颤动经导管射频消融术并发急性心脏压塞的临床分析[J].医学研究杂志,2018,47(6):144-147
DOI: 10.11969/j.issn.1673-548X.2018.06.033
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作者单位E-mail
韩丽军 100050 首都医科大学附属北京天坛医院心内科 13811129266@163.com 
王珏雅 100050 首都医科大学附属北京天坛医院心内科  
李娟 100050 首都医科大学附属北京天坛医院心内科  
李蒙 100050 首都医科大学附属北京天坛医院心内科  
林涛 100050 首都医科大学附属北京天坛医院心内科  
中文摘要:目的 总结经导管射频消融治疗心房颤动并发心脏压塞的病例资料。方法 回顾性分析2014年6月~2016年3月在笔者医院接受导管射频消融治疗心房颤动的患者112例,分析其发生心脏压塞的发生率、临床特点、抢救效果。结果 112例患者中,6例患者发生心脏压塞,经导管射频消融术治疗心房颤动的患者心脏压塞发生率为5.35%。6例发生心脏压塞的患者中5例患者发生在术中,1例发生在术后2h。6例患者心脏压塞的首发表现主要为低血压、恶心、胸痛、意识模糊/意识丧失。本研究中6例患者经紧急处理后,其血流动力学能保持稳定,经心脏超声检查心包内未再有心包积液渗出。结论 心房颤动导管射频消融术并发心脏压塞需要早认识、早发现,心包穿刺引流是有效的治疗手段。
中文关键词:导管射频消融术  心房颤动  心脏压塞
 
Clinical Analysis of Atrial Fibrillation Complicated with Cardiac Tamponade by Radiofrequency Catheter Ablation
Abstract:Objective To summarize the clinical data of radiofrequency catheter ablation of atrial fibrillation complicated with cardiac tamponade. Methods The clinical data of 112 patients with atrial fibrillation who underwent radiofrequency catheter ablation in our hospital from June 2014 to March 2016 were retrospectively analyzed. The incidence, clinical features and rescue effect of cardiac tamponade were analyzed. Results In 112 patients, cardiac tamponade occurred in 6 patients, and the incidence of cardiac tamponade was 5.35% in patients treated with radiofrequency catheter ablation. Of the 6 patients with cardiac tamponade, 5 occurred during the procedure, and 1 occurred within 2 hours after surgery. The main manifestations of cardiac tamponade in 6 patients were hypotension, nausea, chest pain, loss of consciousness/consciousness. In this study, 6 patients were treated with emergency treatment, and their hemodynamics remained stable. No pericardial effusion was detected by echocardiography. Conclusion Early diagnosis is essential for atrial fibrillation patients with pericardial tamponade caused by radiofrequency catheter ablation,and pericardiocentesis is an effective treatment.
keywords:Radiofrequency catheter ablation  Atrial fibrillation  Pericardial tamponade
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