得“心”应手，阜阳市二院房颤治疗再添“新武器”-阜阳在线-阜阳在线论坛阜阳综合门户

网站小七 发表于 2025-5-14 08:42

得“心”应手，阜阳市二院房颤治疗再添“新武器”

<style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fy169.net/frontend/web/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/frontend/web/static/publish/css/style.css?v=20240712"> <div class="preview_article ">  <section style="text-align: center;"><img class="rich_pages wxw-img js_insertlocalimg" style="width: 578px; height: 179px;" src="https://pic.app.fy169.net/FhpDTRyGzxILTVXND5XsuzL2rcUw" width="1080" height="175" /></section><section><img class="rich_pages wxw-img __bg_gif" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; vertical-align: bottom; height: auto !important; color: #222222; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; 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-webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; background-image: url('https://pic.app.fy169.net/FnEQCfdb6FAHO3fSpkHCzIccCrFS'); visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: center; align-items: center; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 0px 8px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: flex-start; align-items: center; flex-direction: column; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 12px 7px 18px 15px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 661px; text-align: left; background: #ffffff; visibility: visible; border: 1px solid #df8567;">近日，阜阳市第二人民医院心血管内科二病区在安徽省立医院心血管内科主任医师苏浩教授的支持下、指导下，成功运用花瓣型脉冲电场消融系统为一例阵发性心房颤动患者实施心脏脉冲电场消融手术。 <section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/Fjg7b3OLN1cLrVkG2_gsCDE2zOTf" /></section>  56岁的李先生是一位饱受心血管疾病困扰的病人，6年前开始有胸痛、胸闷症状，2月前出现反复症状加剧并伴有心慌、心悸，遂来阜阳市二院就诊寻求治疗，经诊断为冠心病、阵发性房颤。为保证病人安全，先为病人进行冠心病介入治疗。术后，李先生胸痛症状明显改善，但仍有胸闷、心悸症状，心血管内科二病区卢家忠主任团队根据病人病情进行综合评估，考虑到病人手术安全和良好预后，在取得病人家属同意后，决定为李先生选择目前最新的脉冲电场消融手术治疗。 手术采用全麻的方式进行，完成房间隔穿刺后，使用可调弯导管鞘将花瓣脉冲消融导管送入左心房，对四条肺静脉口内和前庭部位依次进行消融。术中仅用25分钟就完成四条肺静脉隔离，消融过程中患者由房颤转为窦性心律。手术过程中无明显肌颤反应，无任何并发症发生。肺静脉隔离成功，房颤电位消失，观察验证，肺静脉电位无恢复，且无心包积液等并发症，手术圆满完成。 术后，据心血管内科二病区主任、主任医师卢家忠介绍，房颤即心房颤动，是一种以快速、无序心房电活动为特征的室上性快速性心律失常，是临床最常见的心律失常之一。房颤俗称“安静杀手”，部分患者无症状，有些甚至在发生脑卒中、心力衰竭、心肌梗死等严重并发症时才被发现。 而脉冲电场治疗（Pulse Field Ablation，PFA）的问世有效的解决了射频和冷冻消融的局限性，使房颤消融更高效。脉冲消融是一种非热能源，通过将高强度短时程脉冲电场作用于细胞，引起细胞膜的不可逆电穿孔，从而导致心肌细胞死亡。与传统消融相比，脉冲电场消融具有以下优势： 1、脉冲能量具有组织选择性，不易损伤其他组织； 2、非热能的消融方式，安全性提升； 3、手术时间缩短，放电时间短，每次放电仅需2秒； 4、学习曲线短，医生易于快速掌握手术技术。 阜阳市二院成功开展脉冲消融手术，这一技术突破标志着医院心脏电生理诊疗水平取得重大进展。此项创新技术为心房颤动患者提供了更安全有效的治疗选择，将显著改善患者生活质量，为众多心血管疾病患者带来了新的希望。</section><section style="margin: -24.1px 0px 0px; 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justify-content: center; align-items: center; align-self: flex-end;"></section></section></section></section></section><section style="margin: 8px 8px 10px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #3e3e3e; font-family: inherit; font-size: 24px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; white-space: normal; widows: 1; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; line-height: 25.59px; word-break: normal !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #222222; letter-spacing: 0.544px; white-space: normal; font-family: 微软雅黑; font-size: 16px; background-color: #ffffff;"><section style="margin: 0px; padding: 0px 4px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 15px; line-height: 1.8; letter-spacing: 1px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 16px; white-space: normal; letter-spacing: 0.544px; widows: 1; font-family: 微软雅黑; background-color: #ffffff;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 14px; color: #605af5;"><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">供稿: 心血管内科二病区 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">编辑: 赵上静 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">责任编辑: 马晓琳 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">审核: 高勇</section></section></section></section></section></section></section><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/FhIWchAkPn2K3jj9ePW50Q4mUBYg" /><img class="rich_pages wxw-img __bg_gif" style="font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; 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徽太郎 发表于 2025-5-15 05:52

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得“心”应手，阜阳市二院房颤治疗再添“新武器”