摘要
目的探讨心房颤动射频消融术发生急性心脏压塞的临床特点和治疗结果。方法 2006年1月—2010年6月我院2 094例心房颤动患者接受射频消融治疗,其中9例并发急性心脏压塞,回顾性分析9例患者的临床表现和治疗结果。结果急性心脏压塞发生率为0.43%(9/2 094)。9例患者早期均表现为胸闷、血压下降。9例患者经心包穿刺引流后症状均完全缓解,无继续出血。结论急性心脏压塞是心房颤动射频消融术的严重并发症,及时发现和有效救治是十分重要的。
Objective To summarize the manifestations and results of atrial fibrillation（AF） complicated by acute cardiac tamponade in radiofrequency catheter ablation.Methods A total of 2 094 AF patients received radiofrequency catheter ablation in our hospital from January 2006 to June 2010,9 of whom were complicated by acute cardiac tamponade.The clinical manifestations and treatment outcomes of 9 patients were analyzed retrospectively.Results The incidence of acute cardiac tamponade was 0.43%（9/2 094）.The patients presented with chest distress and hypotension in early stage and remitted completely after drainage by pericardiocentesis without bleeding.Conclusion Cardiac tamponade is a severe complication of atrial fibrillation during radiofrequency catheter ablation.Timely detection and effective treatment are very important.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第5期554-555,共2页
Chinese General Practice
关键词
导管消融术
心房颤动
心脏压塞
心包穿刺术
Catheter ablation
Atrial fibrillation
Cardiac tamponade
Pericardiocentesis
