检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:唐浩勋[1] 袁越[1] 王利平[1] 樊寻梅[1]
机构地区:[1]首都医科大学附属北京儿童医院心脏中心,100045
出 处:《中国小儿急救医学》2008年第3期229-231,共3页Chinese Pediatric Emergency Medicine
基 金:北京市优秀人才培养计划资助项目(20051130300822)
摘 要:目的总结心房扑动患儿的治疗方法。方法30例诊断为心房扑动患儿首先接受药物治疗,包括纠正心力衰竭和药物转复。药物转复无效患儿予食道心房超速起搏、同步直流电击复律或射频消融治疗。结果30例患儿中10例自动出院。5例以心力衰竭为首发症状的患儿中,3例心力衰竭得以纠正(余2例自动出院)。药物转复10例。经食道心房超速起搏治疗2例,成功转复1例。同步直流电击复律4例,成功转复3例。射频消融3例均成功。结论小儿心房扑动合并心力衰竭者多存在器质性心脏病。小儿心房扑动的药物转复率较高,经食道心房超速起搏治疗和同步直流电击复律可用于小儿心房扑动的治疗;射频消融治疗儿童心房扑动需积累经验。Objective To sum up clinical property and therapeutic experience in the children with atrial flutter. Methods Thirty children with atrial flutter accepted drugs cardioversion therapy firstly. The pagents who failed to drugs cardiovers/on were treated by transesophageal atrial overdrive pacing, synchronized direct current cardioversion or radiofrequency ablation(RFA). Results Of the 30 patients, 10 patients gave up treatment. Of 5 patients who suffered from heart failure, 3 patients of heart failure were cured. Ten patients recovered to sinus rhythm just by taking medicine. Two cases were treated with transesophageal atrial overdrive pacing and 1 case returned to normal. Synchronized direct current cardioversion were applied in 4 cases, which resulted in 3 cases returning to normal. Three cases received RFA and all responded to therapy, Conclusion Atrial flutter with heart failure in children mostly originate from organic heart disease. Cardioversion rate of drug is high. Transesophageal atrial overdrive pacing and synchronized direct current cardioversion can be used in the treatment of atrial flutter. The experience of RFA in the treatment of atrial flutter in children should be accumulated.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.15