469

NGHIÊN CU NG DN SINH LÝ H CHU
TR MT S RI LON NHP THT BNG SÓNG CÓ TN S
RADIO
Nguyn Hng Hnh
1


2

Ng
3
1
Bnh vinh Qung Ninh,
2
Vin Tim mch Vit Nam,
3
Hc vin quân y

SUMMARY
We have studied in 150 patients who had Ventricular Arrhythmias(VA), including
Ventricular Premature Beat(VPB) and Ventricular Tachycardias(VT): 38 patients were
male(25,4%), 112 patients were female(74,6%), mean aged: 42 13 years, 143 patients (95,3%)
without structural heart disease,7 patients (4,7%) have structural heart disease.
Studying method: prospective and discriptive Study, Studying Time Duration: from
september of 1999 to August of 2008 in Vietnam National Heart Institute.
Results of Studying:
- 150 patients with 169 of VA focus: 134 of VA focus in right ventricular(RV), 32 of VA
focus in Left Ventricular(LV), common place was Right Ventricular Out Flow Tract(RVOT) of
71,4%. VT was 72, including right VT: 57(79,2%), Left VT: 15(20,8%). Total VPB was 160



-
                 
470







 

       : 1.





2.1.1. Tiêu chu 
9
 (Guidelines) 
          

2.1.2. Tiêu chu 
1998, 2006[4], [9]:      


2.



radio:


0





      
a 150 BN: 42
khác kèm theo: 
-
 thu: 118 



Bng 3.1. Các khong dn truyn trong tim ca bnh nhân RLN/T, so sánh vi kt qu
nghiên cng ca các tác gi khác

PA (ms)
AH (ms)
HH (ms)
HV (ms)
PQ (ms)
Chúng tôi (n=150)
10 - 68
40- 152


 tDTXN là 111 21ms, tPHNX là
1216   49         
[1],[2],[5],[18]

tTHQCN 207,7  21,8ms; tTHQCT 210,8          
2],[5],[18]
 150 BN có 
- là 380,3
 -  là 446,2 
472
-




 
,4%).  
57,442,6
 
 79,2
(20,8%. 
60,6%39,4
NTTTP) chi82,5
chi17,5


-  
Bn sinh lý tim ca CNTNTP v à CNTNT/T



- 


-  

-5 là 119 BN
(83,3%).   
89,6%), 9%1,4%).
- ái (NTTT/T):
Bn sinh lý ca NTTTP và NTTT/T


p
NTTTP (n=132)
NTTT/T (n=28)

132 (82,5)
28 (17,5)


140,3 12,8
138,9 13,9
> 0,05
K
478,157,2
498,1 63,7
< 0,05



C) (n=140): 61,2  8,5
0

     5,0W.          
 
       -           ):
101,4 12,2.
Bng 3.4. Các thông s trit  ri lon nhp tht theo v trí

V trí  ri lon nhp tht
p
 
(n= 130 )

(n= 34 )



(
0
C)
60,6 ± 8,6
(1)

63,6 ± 8,2
(2)

60,4 ± 8,5
(3)


(10)

5,9 ±2,9
(11)

5,5 ±2,9
(12)






-  
 
94,55,5%).
(14,2%). 

96,297,488,2

474



3,83,411,8%).
14,4
12,413,3%).  

     
bình: 96,5±159,5 ngày (1-658 ngày).


TÀI LIU THAM KHO
1. 
   
, (25), tr.25-31.
2.  
 

3. 

      
tr.147-150.
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