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我院自1991年以来应用烟酰胺静滴治疗心律失常15例,疗效满意,现报告分析如下。 1 临床资料 本组15例,男11例,女4例;年龄19～75岁。病程最短15天,最长20年。冠心病7例(其中窦性心动过缓5例,房颤2例);风湿性心脏病2例,均为房颤合并Ⅱ度房室传导阻滞;病窦综合征3例(其中窦房阻滞1例,Ⅱ度房室传导阻滞2例),高血压心脏病3例,均为窦性心动过缓。 本组病例均按黄宛主编的《监床心电图学》第4版的诊断标准。 2 用法与结果 2.1 用法 烟酰胺600～800mg加入10％葡萄糖注射液500mg静滴,每日1次。其中Ⅱ度房室传导阻滞2例用量为1 000mmg滴速15～30滴/分。同时根据不同病种分别给予抗生素、维生素、能量合剂等药物治疗。 2.2 结果 窦性心动过缓及窦房阻滞病人9例,
Our hospital since 1991, niacinamide intravenous infusion of arrhythmia in 15 cases, the effect is satisfactory, the report is analyzed as follows. 1 Clinical data The group of 15 patients, 11 males and 4 females; aged 19 to 75 years. The shortest duration of 15 days, up to 20 years. Coronary heart disease in 7 cases (including sinus bradycardia in 5 cases, 2 cases of atrial fibrillation); rheumatic heart disease in 2 cases, were atrial fibrillation with a degree of atrioventricular block; sick sinus syndrome in 3 cases (including the sinoatrial 1 case of block, 2 cases of Ⅱ degree atrioventricular block), 3 cases of hypertensive heart disease, were sinus bradycardia. This group of patients according to Huang Wan editor of the “supervisory board electrocardiogram” fourth edition of the diagnostic criteria. 2 usage and results 2.1 usage nicotinamide 600 ~ 800mg 10% glucose injection 500mg intravenously once daily. Which Ⅱ degree atrioventricular block in 2 cases the amount of 1 000mmg drip rate of 15 to 30 drops / min. At the same time, according to different diseases were given antibiotics, vitamins, energy mixture and other drug treatment. 2.2 Results sinus bradycardia and sinoatrial block in 9 patients,