婴幼儿心脏直视术后洋地黄中毒23例心电图分析  

Electrocardiographic Analysis of Digitalis Toxication in 23 Infants Underwent Cardiac Surgery

作　　者：杨哲[1] 陈文娟[1] 胡南[1] 罗元芝[1] 刘勇[1] 张晓桂[1] 朱通球[1] 

机构地区：[1]湖南省儿童医院特检科,湖南长沙410007

出　　处：《实用预防医学》2009年第6期1871-1872,共2页Practical Preventive Medicine

基　　金：湖南省自然科学基金项目(06TJ41078)

摘　　要：目的归纳总结婴幼儿小剂量应用洋地黄类药物中毒的心电图(ECG)特征。方法回顾性分析23例洋地黄中毒心脏直视术后患儿临床资料,ECG特征。结果所有患儿均有ECG改变,但无明显特征性改变,以窦性心律合并室性早搏、房室传导阻滞多见,亦有由给药前单源室早转多源室早、房室传导阻滞加重或房颤心室率转变等表现;少数有消化道出血。结论婴幼儿洋地黄中毒发病率较高,ECG改变多样化,诊断主要依靠临床结合ECG改变。Objective To summary the electrocardiographic characteristics of digitalis toxication in infants who underwent cardiac operation. Methods The clinical data, including ECG findings of 23 infants with digitalis toxication were analyzed retrospectively. Results The ECG changes including onset of new types of arrhythmias were observed in all infants, but no diagnostic findings detected. And a few infants suffered from the alimentary canal hemorrhage. Conclusions The morbidity of digitalis toxication in infants is not low. The ECG changes are various and helpful to diagnose digitalis toxication.

关 键 词：婴幼儿 洋地黄中毒 心电图 

分 类 号：R540.41[医药卫生—心血管疾病]