儿童阵发性室上性心动过速67例临床及治疗分析

发布时间：2018-01-27 22:44

本文关键词： 阵发性室上性心动过速临床特点复律儿童　出处：《临床儿科杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨儿童阵发性室上性心动过速(PSVT)的临床特点及治疗。方法回顾分析67例PSVT患儿的临床资料,比较不同治疗的疗效。结果小婴儿临床表现为面色苍白、气促、烦躁、汗多等;儿童表现为胸闷、心悸、腹部不适、乏力等。将电复律、食管调搏、物理治疗、药物治疗的疗效进行比较,差异有统计学意义(P0.05),治疗阵发性室上性心动过速的转复率,以食管调博转复率最高,物理治疗转复率最低;普罗帕酮、地高辛、胺碘酮3种药物的转复率无明显差别。结论 PSVT婴幼儿临床表现不典型,易被忽略。治疗PSVT方法多样,可先试行兴奋迷走神经,无效者再采用药物治疗,也可以使用电复律和食管调搏术,其中食管调搏术复律成功率较高。治疗PSVT药物的疗效取决于多方面因素,选择药物需要因人而异。
[Abstract]:Objective to investigate the clinical features and treatment of paroxysmal supraventricular tachycardia (PSV) in children. Results the clinical manifestations of infants were pale, shortness of breath, irritability, sweating and so on. Children showed chest tightness, palpitations, abdominal discomfort, fatigue, etc. The effects of electrocardiogram, esophageal pacing, physical therapy and drug therapy were compared, and the difference was statistically significant (P 0.05). The conversion rate of paroxysmal supraventricular tachycardia was the highest in esophageal tachycardia and the lowest in physiotherapy. There was no significant difference in the conversion rate of propafenone, digoxin and amiodarone. Conclusion the clinical manifestations of PSVT infants are not typical and easy to be ignored. Can first try excitatory vagus nerve, ineffective person uses medicaments treatment again, also can make electrocardiogram and esophagus adjust beat operation. The success rate of resuscitation in esophageal pacing is high. The efficacy of PSVT depends on many factors, and the choice of drug needs to be different from person to person.
【作者单位】：上海市儿童医院上海交通大学附属儿童医院心内科;上海交通大学医学院附属上海儿童医学中心心内科;
【分类号】：R725.4
【正文快照】： 上海儿童医学中心心内科(上海200127)阵发性室上性心动过速(paroxysmal supra-ventricular tachycardia,PSVT)是儿童最常见的快速性心律失常,若发作持续24 h以上易发生心力衰竭或心源性休克,危及生命,故需尽早识别,紧急处理。本研究回顾分析2015年1月至2016年12月收治的67例PS

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