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xiao er kuai su xing xin lv shi chang lin chuang zhen duan ji zhi liao hui gu
Author(s): 
Pages: 42-44
Year: Issue:  18
Journal: CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE

Keyword:  心动过速诊断小儿;
Abstract: 目的 探讨小儿快速型心律失常临床诊断思路及治疗方法.方法 根据12例快速型心律失常患儿入院时症状及体征、心电图、心脏彩色多普勒超声检查进行临床诊断并给予药物复律.结果 共有8例阵发性室上性心动过速及4例室性心动过速患儿,所有阵发性室上性心动过速及1例室性心动过速患儿均成功药物复律,3例室性心动过速患儿死亡.阵发性室上性心动过速患儿首次发作均用ATP成功复律,年长儿再次发作时普罗帕酮有效,3例进行射频消融术.结论 心脏彩色多普勒超声心动图可估计病情及预后,阵发性室上性心动过速首次发作时ATP快速静脉推注可有效、成功地复律.年长儿再次发作时普罗帕酮更有效,如频繁发作应考虑射频消融术.
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