Objective To investigate the safety and effect of amiodarone for treating various types of fast arrhythmia in the emergency patients.Methods 180 patients with fast arrhythmia in the emergency department of the Wushan County People's Hospital from 2005 to 2009 were divided into the supraventricular group(n=140) and the ventricular group(n=40) according to the causes of arrhythmia.The supraventricular group was subdivided into the observation group(supraventricular group A) treated by amiodarone and the control group(supraventricular group B) treated by lanatoside,70 cases in each subgroup;the ventricular group was subdivided into the observation group(ventricular group A) treated by amiodarone and the control group(ventricular group B) treated by lidocaine,20 cases in each subgroup.The clinical observation and the efficacy analysis were performed in each group.Results The effective rate in the supraventricular group A was higher than that in the supraventricular group B,while the rate of adverse reactions was lower than the supraventricular group B.The effective rate of the ventricular group A was higher than that of the ventricular group B,while the rate of adverse reactions was lower than the ventricular group B.The total effective rate in observation groups was higher than that in the control groups with statistical difference(P<0.05).Conclusion Amiodarone is superior to cedilanid and lidocaine in the overall treatment effect with less adverse reactions.Using amiodarone for treating various types of rapid arrhythmia in emergency has obvious effect and high safety,which is worth popularizing.

目的 探讨及时诊断和治疗对急性肺栓塞(APE)的疗效及预后的影响.方法 回顾性分析2007年5月至2011年6月重庆市巫山县人民医院收治的APE患者86例,分为及时诊断和治疗组(观察组)47例,未及时诊断和治疗组(对照组)39例,观察其疗效及随访1年的预后情况.结果 两组患者经不同方法治疗后呼吸频率、心率、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)和动脉血-肺泡气氧分压差(PA-aO2)均明显改善(P＜0.05);观察组PaO2治疗后较对照组有明显改善(P＜0.05);观察组总有效率为93.7%,明显高于对照组(P＜0.05);随访1年两组主要终点事件发生率无明显差异(P>0.05).结论 APE在2周内确诊并联合应用溶栓和抗凝治疗,有利于提高疗效、减少死亡率.

优秀的临床医生,特别是经验丰富的精神科医生、心理学医生都有特殊的暗示技巧和手段,往往能获得药物难以取得的良效。