恶性肿瘤患者心房纤维颤动及其治疗

Atrial Fibrllation of Malignancy Patients and Treatments

摘要: 目的　探讨恶性肿瘤患者发生心房纤维颤动(房颤)的临床特点及其治疗。方法　对发生房颤的恶性肿瘤患者进行常规心电图检查及持续心电监测，选用抗心律失常药物静脉注射终止发作。结果　60岁以上的恶性肿瘤患者房颤发生率为45.5%，选用洋地黄、心律平、胺碘酮转复房颤，成功率达71.5%。结论　老年恶性肿瘤患者发生阵发性房颤比例较高，且出现短阵快速心室率较普遍，本组药物转复率较高且安全。

Abstract: Objective To study the clinical feature and treatmants in malignancy patients with atriul fibrillation. Methods The malignancy patients were examined by cardiogram survey uninterruptedly,selected Anti-irrhythmia drugs by vein injection,to stop accessing. Results The atrial fibrillation probability is 45.5% among the malignacy patients over 60years old.Digitalis.Propa fenone and amiodarone were selected to transform atrial fibrillation into sinus rhythm.Success rate is 71.5%. Conclusion s Atrial fibrillation accounts for high proportion among the old malignancy patients,and the atrial fibrillation patients with rapid response were common.The transition probability in the group was higher and safety.