【摘要】室性早搏(Ventricular Premature beat V P B)是临床最常见的心律失常之一，即可发生器质性心脏病人，亦可发生于健康人，可能无害，亦可能诱发更严重的心律失常，甚至导致猝死。本文对其病因，V P B严重性的判读，及护理做了如下讨论：认为VPB的病因构成有：急性心肌梗塞，其他类型的冠心病，急性心肌炎等器质性心脏病；认为频发的VPB可能转变为复杂的VPB，它是一种极其危险的心律失常，因此护理时，应严密观察病人的心率、心率变化，若出现频发的VPB、RonT应及时通知医生，并给予静脉滴注抗心律失常的药；若持续室速，伴有意识丧失者，护士应不失时机的迅速体外电传复，以挽救病人生命；对有特定病因的VPB应除去病因，并加强预防保健教育和心理护理。

    【关键词】动态心电图 室性早搏 护理

    Analysis and ventricular premature custody with care

    Tai Xianghui

    【Abstract】Premature ventricular contractions (Ventricular Premature beat VPB) is a clinical one of the most common arrhythmia, can occur with organic heart disease, may also occur in healthy people, it may sound, may trigger more serious arrhythmias, And even lead to sudden death. In this paper, their cause, VPB interpretation of the seriousness and care to do the following discussion: VPB that constitute the cause: acute myocardial infarction, other types of coronary heart disease, acute myocarditis, and other organic heart disease;That the frequent changes may be for VPB complex VPB, it is an extremely dangerous arrhythmia, so care should be closely observe the patient's heart rate, heart rate, if the frequency of VPB, RonT doctor should be notified in a timely manner and Given intravenous anti-arrhythmia drugs; if sustained ventricular tachycardia, with awareness Sang Shizhe, nurses should lose no time in the rapid resumption of in vitro fax to save the lives of patients; on the specific cause of the VPB should remove the causes, prevention and strengthen health education And psychological care. ......