【摘要】 目的 分析获得性长Q-T间期综合征的临床特点。方法 对90例获得性长Q-T间期综合征病例的临床资料进行回顾性分析。结果 90例中女60例,男30例,发作尖端扭转型室性心动过速1~7/人,平均3.2次,共计29次的尖端扭转型室性心动过速发作中,6次为电击除颤转复(20.7%),其余自行转复;8例应用异丙肾上腺素静脉滴注使心率维持在90~110/min,随后对其中3例植入临时起博器,给予90~110次/min的频率持续右心室心尖部起博,同时去除诱发因素,如纠正低钾血症,补镁,停用胺碘酮及其他引起Q-T间期延长的药物。结论 获得性长Q-T间期综合征为心源性晕厥愿因之一,常诱发尖端扭转型室性心动过速,补钾、镁为重要错施。

    【关键词】 获得性;长Q-T间期;综合征

    Clinical Analysis of Acquired oflongQ-T Internal Syndrome

    MENG Su-fang.

    NO.6 People’s Hospital of Zhengzhou City,Zhengzhou 450000,China

    【Abstract】 Objective To analyse the acquiredr of longQ-T internal syndrome.Methods The clinical data of 90 cases(60females and 30 males)with acquired of long Q-T internal syndrome were analysed in retrospect.Results Attack siuns tachycards 1~7 times/person,3.2 times in average,29 times in total.In which,6 times for defibrillation transfer back(20.7%),the others transfer back by themselves.And 8 cases of application ......