【摘要】 目的 观察地尔硫唑对肺心病并发快速性心律失常的临床疗效。方法 对60例肺心病并发快速性心律失常的病人给予地尔硫唑10～20mg/d静脉滴注，用24h动态心电图检查，比较治疗前后的平均心室率。结果 60例肺心病并发快速性心律失常的病人经1～2天的治疗后心室率从130±19次/min降至88±15次/min(P<0.01)。未见明显不良反应。结论 地尔硫唑是一种治疗肺心病并发快速性心律失常的有效、安全的药物。

    关键词 地尔硫唑 心房颤动 心房扑动 室上性心动过速

    Clinical effect of intravenous diltiazem on pulmonary heart disease accompanying rapid arrhythmias

    Zhang Hongjun

    The People’s Hospital of Yuli，Xinjiang841500.

    【Abstract】 Objective To evaluate the efficacy of the intravenous diltiazem for treatment of pulmonary heart disease accompanying rapid arrhythmias.Methods Sixty patients with pulmonary heart disease accompanying rapid arrhythmias were treated with intravenous diltiazem10～20mg/d.The average ventricular rate after and before the treatment were compared.The average ventricular rate was taken from Holter monitor.Results The average ventricuˉlar rate of the60patients with rapid arrhythmias decreased from(130±19beat/min)to(88±15beat/min)after1～2d treatment.Conclusion Diltiazem is safe and effective drug in patients with pulmonary heart disease accompanying rapid arrhythmias. ......