心血管危重症继发交感风暴37例临床分析

目的:探讨心血管危重症继发交感风暴的病因分布特点和治疗方法。方法:回顾性分析我院2001年-2011年37例心血管危重症继发交感风暴临床资料。结果:37例心血管危重症继发交感风暴患者,其中男性22例,女性15例,年龄55-82岁,平均68.25岁。病因分布为:心肌梗死29例,心衰3例,扩张性心肌病2例,电解质紊乱2例,Brugada综合征1例。治疗方法包括β受体阻滞剂、胺碘酮、利多卡因、电除颤等。其中,17例因反复发作室颤,经抗心律失常药物和电除颤治疗无效死亡,余20例病情得到控制。结论:心血管危重症继发交感风暴临床病因多样,病情凶险,应用β受体阻滞剂及抗心律失常药物,同时积极针对病因及诱因治疗,可以改善临床症状和预后。

Ventricular Tachycardia Storm Secondary to Critical Cardiovascular Illness:Clinical Analysis of 37 Patients

Objective: To discuss the cause and therapeutic methods of ventricular tachycardia storm secondary to critical cardio-vascular illness.Methods: Clinical data about 37 patients with ventricular tachycardia storm secondary to critical cardiovascular illness admitted to our hospital from 2001 to 2011 were retrospectively analyzed.Results: 37 patients of ventricular tachycardia storm were invo-vled,of which 22 were males and 15 were females with a mean age of 68.25 years.Distribution of causes: myocardial infarction 29,heart failure in 3,2 cases of dilated cardiomyopathy,electrolyte imbalance in 2 cases,Brugada syndrome in 1.The treatment method includes beta blockers,amiodarone,lidocaine,electrical defibrillation,etc.Among them,17 cases were dead although anti-arrhythmic drugs and electrical defibrillation were used;other 20 cases were under control.Conclusion: Ventricular tachycardia storm secondary to critical car-diovascular illness is an extremely dangerous state.The application of beta blockers and anti-arrhythmic drugs,combining with positive treatment according to the causes and incentives,can significantly improve the clinical symptoms and prognosis.