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射频消融技术

来源:常德宝岛医院2022-07-02 09:04:15 浏览:0次

 <p>&nbsp;<span style="background-color: rgb(130, 142, 201); color: rgb(255, 255, 255); font-size: 16px; text-align: center; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; white-space: nowrap;">1</span></p>

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<div class="section_title" style="margin: 29px 0px 15px; padding: 0px; background: url(&quot;//cache.soso.com/baike/i/lemma/sgbk_lemma_shadow_sprite.png&quot;) 0px -21px no-repeat; height: 38px; clear: both;">
<h2 style="margin: 0px 10px 0px 0px; padding: 0px; font-size: 22px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; float: left; line-height: 36px; color: rgb(116, 134, 198); white-space: nowrap; zoom: 1;"><a name="1" id="1"></a><a name="para1" id="para1">手术简介</a></h2>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer0"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 220px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F8872%2F20180119125220-2099540810_jpg_292_189_7874.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="心脏射频消融术" alt="心脏射频消融术" width="220" height="165" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/8875/cut-20180119125224-786253342_jpg_219_164_5413.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">心脏射频消融术</span></span></span>心脏射频消融术(catheterradiofrequency ablation)是将电极导管经静脉或动脉血管送入心腔特定部位,释放射频电流导致局部<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=69261635&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">心内膜</a>及心内膜下心肌凝固性坏死,达到阻断快速心律失常异常传导束和起源点的介入性技术。经导管向心腔内导入的射频电流损伤范围在1-3 mm,不会造成机体危害。射频消融术目前已经成为根治<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=268879&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">阵发性心动过速</a>最有效的方法。基本设备包括X光机、射频消融仪及<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=66213802&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">心内电生理检查</a>仪器。</p>
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<h2 style="margin: 0px 10px 0px 0px; padding: 0px; font-size: 22px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; float: left; line-height: 36px; color: rgb(116, 134, 198); white-space: nowrap; zoom: 1;"><span style="font-size: 16px; float: left; display: block; width: 24px; height: 24px; margin: 6px 10px 0px 0px; line-height: 24px; color: rgb(255, 255, 255); text-align: center; background-color: rgb(130, 142, 201);">2</span><a name="2" id="2"></a><a name="para2" id="para2">手术适应</a></h2>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer1"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 220px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F14052%2F20180119125230-1741339792_jpg_307_184_6487.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="心脏射频消融术" alt="心脏射频消融术" width="220" height="165" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/8845/cut-20180119125233-742814287_jpg_219_164_5715.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">心脏射频消融术</span></span></span>一、房室折返型心动过速(<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=50444&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">预激综合征</a>):房室间存在着先天性&ldquo;旁路&rdquo;,导管射频将旁路&ldquo;切断&rdquo;,心动过速或预激波将不再存在。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">二、房室结折返型心动过速:房室结形成&ldquo;双径路&rdquo;,电流在适宜条件下,在两条径路形成的折返环快速运行,引起心动过速;导管射频消融慢径,只保留快径,心动过速就不再具备发作条件。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">三、心房扑动(房扑):房扑是心房存在大环路,电流在环路上不停地转圈,心房跳动250-350次/分,心室一般在150次/分;导管射频可以破坏环路,造成双向电流阻滞,从而根治房扑。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">四、房性心动过速(房速):房速是左心房或<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=381664&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">右心房</a>的某一局部有异常快速发放电流的&ldquo;兴奋点&rdquo;或者在心房内有小折返运动;<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=7763457&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">电生理检查</a>标测到异位&ldquo;兴奋点&rdquo;或折返环,进行消融得到根治。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">五、<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=632050&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">室性期前收缩</a>(早搏):主要用于临床症状明显的单源性的频发室早;常常由于心室&ldquo;兴奋灶&rdquo;引起;标测到异位兴奋灶消融,室早即可消失。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">六、<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=5326156&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">室性心动过速</a>(室速):包括特发性、束支折返性和疤痕性室速等。特发性室速常见于心脏结构和功能正常人群,没有器质性心脏病证据,但心动过速频繁发作可引起<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=6631831&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">心动过速性心肌病</a>;其发生是由在右或左心室流出道及左心室间隔上的一个&ldquo;兴奋灶&rdquo;快速发放电流,导致心动过速。通过导管找到&ldquo;兴奋灶&rdquo;,发放射频电流消融,室速可以治愈。束支折返性室速和疤痕性室速多见于扩心病、冠心病和先心病外科手术后等器质性心脏病患者,病人发作时可以出现晕厥、抽搐,往往需紧急抢救。束支折返性室速是电流在心脏的左、右传导束支及左、<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=381632&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">右心室</a>之间折返环路(&ldquo;转圈&rdquo;),导管电极找到并发放射频电流阻断环路;疤痕性室速是由于心脏纤维疤痕组织间的存活心肌细胞产生的折返环路,发放射频电流阻断环路,心动过速同样得到根治。导管射频消融可以根治室速而不能根治心脏病;消融不成功或室速发作有生命危险时,需植入心脏埋藏式除颤器(ICD)预防猝死。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">七、心房颤动(房颤):房颤是最常见的持续性心律失常,研究发现房颤的触发是因为与心房相连的大静脉上的&ldquo;心肌袖&rdquo;发放快速电冲动,另外房颤的持续与心房自身重构也有关。采用导管电极在环<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=10720402&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">肺静脉</a>口消融,形成大静脉与心房的&ldquo;电隔离&rdquo;,或加上在心房内的某些线形消融,可以达到根治房颤目的。</p>
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<h2 style="margin: 0px 10px 0px 0px; padding: 0px; font-size: 22px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; float: left; line-height: 36px; color: rgb(116, 134, 198); white-space: nowrap; zoom: 1;"><span style="font-size: 16px; float: left; display: block; width: 24px; height: 24px; margin: 6px 10px 0px 0px; line-height: 24px; color: rgb(255, 255, 255); text-align: center; background-color: rgb(130, 142, 201);">3</span><a name="3" id="3"></a><a name="para3" id="para3">注意事项</a></h2>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer2"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 220px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F13726%2F20180119125241-1666241935_jpg_288_181_10411.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="心脏射频消融术" alt="心脏射频消融术" width="220" height="165" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/8882/cut-20180119125244-1791361794_jpg_219_164_7984.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">心脏射频消融术</span></span></span>一、电生理检查和射频消融术一般需要住院进行,需要常规实验室检查(包括心电图和血液化验等)。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">二、饮食注意事项:手术前6-8小时内不要进食进饮。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">三、告诉医生所用药物的名字和剂量,电生理检查和射频消融术前3-5天停用所有抗心律失常药物,抗心律失常药物可能会影响到检查结果。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">四、告诉医生对药物过敏情况。</p>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer3"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 220px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F19020%2F20180119125319-252715033_jpg_201_150_4759.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="心脏射频消融术" alt="心脏射频消融术" width="220" height="165" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/13773/cut-20180119125328-376793173_jpg_191_143_4272.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">心脏射频消融术</span></span></span>小儿具有血管细、心脏小等特征,实施射频消融术难度高、风险大,需要慎重选择。对于3岁以下的快速型心律失常患儿,尽量先采取药物治疗,3岁以上可以考虑射频消融手术治疗。对于早搏等心律失常,药物不能缩短病程,只是缓解症状,药物治疗要高度警惕其毒副作用;只有当心动过速影响到孩子的生活质量、身体发育时才积极使用抗心律失常药物治疗,适合情况下采用<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=63744383&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">射频消融治疗</a>。</p>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=7763457&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">电生理检查</a>和射频消融术是在一个有特殊设备的手术间进行(称为导管室)。导管室工作人员通常包括电生理医生、助手、护士和技师。患者躺在X光检查床上,医务人员会将各种监测装置与患者身体连接,并将您身体用无菌单盖住,医务人员穿戴上无菌手术衣和手套。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">首先导管插入部位(<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=53424473&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">腹股沟</a>、手臂、肩膀或颈部)的皮肤消毒,局麻药进行局部麻醉;然后用穿刺针穿刺静脉/动脉血管,电生理检查导管通过血管插入心腔;心脏电生理检查所用的电极导管长而可弯的导管,能将电信号传入和传出心脏。电极导管记录心脏不同部位的电活动,并发放微弱的<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=18504278&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">电刺激</a>来刺激心脏,以便诱发心律失常,明确心动过速诊断;然后医生通过导管找到心脏异常电活动的确切部位(此过程称为&ldquo;标测&rdquo;),再通过消融仪发送射频电流消融治疗,从而根治心动过速。</p>
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<h3 style="margin: 25px 0px 15px; padding: 0px; font-size: 20px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; line-height: 24px;"><a name="para7" id="para7"></a>患者感受</h3>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer4"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 300px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F5725%2F20181031155737-967123554_jpg_300_225_24404.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="射频消融术" alt="射频消融术" width="300" height="225" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/5725/20181031155737-967123554_jpg_300_225_24404.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">射频消融术</span></span></span>整个过程患者一般处于清醒状态,有时医生会用<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=3597665&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">镇静剂</a>来缓解患者紧张,患者会全程监护;电生理检查一般不会引起疼痛,导管行进于血管和心腔时患者不会有感觉;检查时医生可能会用微弱的电流刺激心脏,患者不会感觉到这些电脉冲,往往会诱发出心动过速,感觉和以前发作时一样(可能有头晕、目眩、心悸、胸痛或气短等),告知医生即可;这些操作风险很小,相对而言很安全。</p>
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<h3 style="margin: 25px 0px 15px; padding: 0px; font-size: 20px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; line-height: 24px;"><a name="para8" id="para8"></a>成功率</h3>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">房室结折返性心动过速、预激综合征等心律失常一次射频消融成功率可以达到98%以上,而房速、房扑、室早、特发性室速等复杂心律失常成功率可以达到90%以上,目前房颤的消融成功率<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=8220491&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">阵发性房颤</a>达到80~90%,持续性和<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=59844641&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">慢性房颤</a>也可达到60~80%,再次消融成功率将进一步提高。</p>
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<h3 style="margin: 25px 0px 15px; padding: 0px; font-size: 20px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; line-height: 24px;"><a name="para9" id="para9"></a>手术并发症</h3>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">血管穿刺并发症包括局部出血、血肿、感染、气胸、血栓形成、栓塞等,导管操作并发症包括主动脉瓣返流、心肌穿孔、心包填塞等,放电消融并发症包括<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=6027337&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">房室传导阻滞</a>、心肌梗死等。</p>
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<div class="section_title" style="margin: 29px 0px 15px; padding: 0px; background: url(&quot;//cache.soso.com/baike/i/lemma/sgbk_lemma_shadow_sprite.png&quot;) 0px -21px no-repeat; height: 38px; clear: both;">
<h2 style="margin: 0px 10px 0px 0px; padding: 0px; font-size: 22px; font-weight: 400; font-family: arial, &quot;pingfang sc&quot;, stheiti, &quot;microsoft yahei&quot;, sans-serif; float: left; line-height: 36px; color: rgb(116, 134, 198); white-space: nowrap; zoom: 1;"><span style="font-size: 16px; float: left; display: block; width: 24px; height: 24px; margin: 6px 10px 0px 0px; line-height: 24px; color: rgb(255, 255, 255); text-align: center; background-color: rgb(130, 142, 201);">5</span><a name="10" id="10"></a><a name="para10" id="para10">术后注意</a></h2>
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<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;"><span id="singlePicContainer5"><span class="text_img ed_imgfloat_right   " style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; color: rgb(102, 102, 102); display: inline; font-size: 12px; padding: 2px; text-align: center; text-indent: 0px; position: relative; float: right; margin-left: 10px; clear: right; margin-bottom: 10px; width: 220px;"><a class="ed_image_link" title="点击查看大图" href="https://baike.sogou.com/PicBooklet.v?relateImageGroupIds=&amp;lemmaId=7599378&amp;now=https%3A%2F%2Fpic.baike.soso.com%2Fugc%2Fbaikepic2%2F8845%2F20180119125335-132504263_jpg_227_145_6697.jpg%2F0&amp;type=1&amp;category=" target="_blank" rel="noreferrer" style="position: relative; display: block; color: rgb(51, 102, 204); text-decoration-line: none;"><img title="心脏射频消融术" alt="心脏射频消融术" width="220" height="165" data-observer="true" data-loaded="true" src="https://pic.baike.soso.com/ugc/baikepic2/8880/cut-20180119125340-2118820490_jpg_186_139_5372.jpg/300" style="border: 0px; min-height: 1px !important; display: inline-block; vertical-align: top; min-width: 1px !important; padding: 0px; cursor: default;" /></a><span style="display: block; line-height: 20px; padding: 6px 10px;">心脏射频消融术</span></span></span>射频消融术后患者须按照医嘱卧床静养,静脉穿刺处沙袋压迫6小时,动脉穿刺处沙袋压迫8-12小时,并患肢制动(限制不动),注意观察是否出血;</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">卧床期间给予易消化饮食;</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">射频消融术后早期密切观察心率和心律情况,如有不适及时向医生汇报,必要时心电图、心脏超声和胸片等检查;</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">如果术后心动过速再次发作的感觉,但并未真正发作,无要紧张勿需特殊治疗;</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">术后一般1周后可恢复正常活动;</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">出院后如有复发,应及时就近记录心电图,并与手术医生取得联系,决定下一步治疗方案。</p>
<p style="margin: 0px 0px 15px; padding: 0px; text-indent: 2em; line-height: 24px;">射频消融术后需要抗凝治疗,一般需要1-3个月的抗凝药物,具体视患者的心律、年龄和全身情况而定。其他辅助药物的应用主要房颤消融术后使用<a class="ed_inner_link" target="_blank" href="https://baike.sogou.com/lemma/ShowInnerLink.htm?lemmaId=251087&amp;ss_c=ssc.citiao.link" style="color: rgb(51, 102, 204); text-decoration-line: none;">胺碘酮</a>,遵照医嘱服用,才能达到期望疗效。</p>
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