基层医院开展射频消融术治疗室上性心动过速21例体会

摘要

目的：通过总结本院射频消融术（RFCA）治疗阵发性室上性心动过速（PVST）21例的临床资料，探讨这一技术在基层医院开展的疗效及安全性。方法：回顾分析本院行射频消融术治疗阵发性室上性心动过速21例患者的临床资料。结果：房室结折返性心动过速（AVNRT）14例，房室折返性心动过速（AVRT）7例，手术未成功2例，并发急性心包填塞1例，成功率90.5%，并发症率4.8%，无复发病例。结论：射频消融术是根治阵发性室上性心动过速的一项有效、安全微创手术，可以在各级基层医院开展。%　　Objective:To explore the clinical efficacy and safety of radiofrequency catheter ablation(RFCA)in treatment of paroxysmal supraventricular tachycardia(PVST)in basic-level hospital.Method:The clinical data of 21 patients with PVST treated by RFCA were retrospectively analyzed.Result:14 cases were atrioventricular nodal reentry tachycardia(AVNRT),7 cases were atrioventricular reentrant tachycardia(AVRT), 2 cases failed,1 case complicated by acute tamponade.The operation success rate was 90.5%,occurrence of complication was 4.8%.No case relapsed. Conclusion:RFCA is a radical way for PVST and a safe and effective method with fewer trauma,it may be developed in basic-level hospital.