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目的探讨一例飞行员特发性右室流出道室性心动过速的发病机制，采取有效的治疗措施和医学鉴定。方法采用临床无创检查、药物治疗和有创检查、介入疗法相结合的方法。包括１２导同步心电图，２４ｈ动态心电监测，心室晚电位，次极量运动试验，超声心动图，Ｘ线胸片，血生化全套，冠状动脉造影，左右心室造影，刺激右室流出道诱发室速，而后进行射频消融。结果排除了冠心病和右室发育不良，证实为特发性右室流出道室速。进行射频消融术后室速消失，随访１年余，治疗效果巩固。结论右室流出道室速有独特的临床特征，在药物治疗效果不佳的情况下，行射频消融术，成功地阻断和抑制了室速的发生。术后对患者行航空医学鉴定，结论为飞行合格。
Objective To investigate the pathogenesis of a pilot pilot of right ventricular outflow tract ventricular tachycardia and to take effective treatment measures and medical identification. Methods Clinical non-invasive examination, drug treatment and invasive examination, interventional therapy combined method. Including 12-lead ECG, 24h Holter monitoring, ventricular late potential, submaximal exercise test, echocardiography, X-ray, a complete set of blood biochemistry, coronary angiography, left ventricle ventriculography, stimulation of right ventricular outflow tract induction room Speed, then radiofrequency ablation. Results exclude coronary heart disease and right ventricular dysplasia, confirmed as idiopathic right ventricular outflow tract VT. After radiofrequency ablation VT disappeared, more than 1 year follow-up, the treatment effect is consolidated. Conclusions The RVOT velocity has a unique clinical feature. With radiofrequency ablation, the ventricular tachycardia can be successfully blocked and inhibited in the case of poor drug treatment. Postoperative patients underwent aerial medical identification, concluded that the flight qualified.