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心房扑动 （ atrial flutter ， AF ）. 病因： 阵发性者可见于无器质性心脏病者； 持续性房扑可见于： 风心病、冠心病、高心、心肌病； 肺栓塞、慢性心衰等致心房扩大者。 甲亢、酒精中毒、心包炎等。. 临床表现. 不稳定，可恢复为窦性心律或进展为房颤；可持续数月或数年；增加迷走神经张力可突然减慢心室率，增加交感神经张力或减慢迷走神经张力可使心率加快。 心室率不快者，无不适；心室率快者可诱发心绞痛、心力衰竭。 可见颈静脉扑动， S 1 强度改变，可听到心房音。. ECG 表现. - PowerPoint PPT Presentation
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atrial flutterAF
S1
ECGFaVFV1F250~300/ QRS
AFTEAPAFverapamilesmololAFpropranololAquinidineC(propafenone)AFCHFamiodaroneRFCAAF
atrial fibrillation Af 601% IEHF
150/CHF25%
S1AVB
Pf350~600/100~160/QRS
24~48 quinidineprocainamideflecainidepropafenoneamiodarone
2. HR60~80/100/verapamilW-P-Wverapamil
flecainidepropafenoneamiodarone
48
INR2~3 23W3~4W
RFCA RFCAVVIDDDIAD
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