重症肺炎患儿心律失常相关因素分析及处理  

Related factors and preventive methods of arrhythmias in childen with severe pneumonia

作　　者：刘亚秋[1] 刘喜[1] 李凯红[1] 丘喜[1] 

机构地区：[1]深圳市宝安区妇幼保健院儿科,广东深圳518133

出　　处：《现代保健（医学创新研究）》2007年第11Z期29-30,共2页

摘　　要：目的探讨重症肺炎患儿心律失常发生的原因及治疗对策。方法对90例重症肺炎患儿临床资料进行回顾性分析。结果42例重症肺炎患儿出现心律失常56例次，发生率46．7％（42／90），包括各类早搏、阵发性室上性心动过速、心房颤动、窦性心动过缓、一度或二度房室传导阻滞等。低年龄、Ⅰ型呼吸衰竭、心功能不全、肌钙蛋白升高及低血钾是重症肺炎心律失常影响因素（P〈0．01）。结论心律失常是重症肺炎患儿早期较严重并发症，低年龄、Ⅰ型呼吸衰竭、心功能不全、心肌损害程度及低血钾等与重症肺炎患儿心律失常有密切关系，及时有效的氧疗及早纠正心功能不全、控制感染、保护心肌治疗、维持内环境稳定、防止电解质紊乱和缺氧、酸中毒的发生，是防止重症肺炎患儿心律失常发生的有效措施。Objective To investigate the related factors and preventive methods of arrhythmias in children with severe pneumonia. Methods From Jan . 2000 to Dec . 2006,90 cases with severe pneumonia received treatment , all clinical data were reviewed. Results 56 arrhythmias occurred in 42 patients （46.7%）, arrhythmias consisted of premature complexes, supraventricular tachycardia, atrial fibrillation, Sinus bradycardia, Ⅰ°and Ⅱ° AVB et al. lower age, cardiopulmonary insufficiency, myocardical damage and hypokalemia were the related factors of arrhythmias in children with severe pneumonia （ P 〈 0.01 ）. Conclusions Arrhythmias was the severe early complications in children with severe pneumonia. Early effective oxygen therapy, myocardial protection , control of infection, maintaining of normal circulation, and electrolytes and prevention anoxia/acidosis,improving heart function , may be the most effective preventive methods in children with severe pneumonia.

关 键 词：重症肺炎 心律失常 相关因素 儿童 

分 类 号：R563.1[医药卫生—呼吸系统]