小儿先心病87例介入治疗前后心律失常分析

发布时间：2018-03-11 08:48

本文选题：先天性心脏病　切入点：介入治疗　出处：《广东医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的研究小儿先天性心脏病介入治疗术后各种心律失常的发生率,为提前预防和及时合理的临床治疗提供依据。方法对87例小儿先天性心脏病患者介入治疗术前与术后进行心电监护,观察心电图P波、P-R间期、QRS波形等的变化,术后随访主要了解其活动时的不适情况。结果通过术后回访了解其活动状况及心电图P波、P-R间期、QRS波形等的变化,室间隔缺损(VSD)患儿介入术后心律失常发生率较高(100%),恢复率(42.3%)。房间隔缺损(ASD)患儿介入术后心律失常发生率较低(18%),恢复率为100%。其中,严重的如束支传导阻滞约占3.4%,多数(82.8%)心律失常为暂时性、一过性改变,只有极少数会转变为永久性(17.2%)。结论虽然临床上小儿先心病介入治疗术后心律失常的发生率较高,但通过心电图P波、P-R间期、QRS波形等的变化可以及时诊断,及时合理地治疗后,大部分患儿可恢复。
[Abstract]:Objective to study the incidence of arrhythmias in children with congenital heart disease after interventional therapy. Methods 87 children with congenital heart disease were monitored by ECG before and after interventional therapy, and the changes of QRS wave at P wave P R interval were observed. Results the activity status and the changes of P wave P R interval QRS wave were studied by follow-up. The incidence of arrhythmia after interventional intervention in children with ventricular septal defect (VSD) was higher than that in children with ventricular septal defect (VSD), and the recovery rate was 42.3%. The incidence of arrhythmia in children with atrial septal defect (ASD) after interventional operation was lower than that in children with atrial septal defect (ASD), and the recovery rate was 100%. Severe arrhythmias, such as bundle branch block (3. 4%), most of them (82. 8%) have temporary, transient changes, and only a few will change to permanent 17. 2%. Conclusion although the incidence of arrhythmia after interventional therapy is higher in children with congenital heart disease. But the changes of P wave P R interval QRS wave can be diagnosed in time. After timely and reasonable treatment, most of the children can recover.
【作者单位】：广州市妇女儿童医疗中心心脏中心;
【分类号】：R725.4

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