【摘要】目的：观察胺碘酮与西地兰治疗急诊危重症合并快速心律失常的临床效果及安全性。方法：选取50例危重症合并快速心律失常患者，随机分为观察组与对照组各25例，观察组给予胺碘酮治疗，对照组给予西地兰进行治疗，比较两组临床效果、心功能、应激等指标，进行对照分析。结果：观察组各观察指标均优于对照组，差异具有统计学意义(P<0.05)。结论：急诊危重症合并快速心律失常采用胺碘酮治疗，起效迅速并能明显缓解机体的应激状态，同时不良反应少，值得在临床上推广使用。

    【关键词】快速心律失常；急诊；胺碘酮；西地兰；危重症

    【中图分类号】R541.7 【文献标志码】A 【文章编号】1007-8517(2016)07-0097-02

    Abstract：Objective To investigate the patients with tachyarrhythmia of the clinical effect and safety of amiodarone and cedilanid in the treatment of critically ill patients in emergency. Methods choose 50 cases of critically ill associated with rapid ventricular arrhythmia were randomly divided into observation group and control group ......