小儿阵发性室上性心动过速37例临床分析(英文)  

Paroxysmal Supraventricular Tachycardia on Children:Clinical Analysis of 37 cases

作　　者：张文祥[1] 李自普[1] 聂娜娜[1] 王思平[1] 锡洪敏[1] 

机构地区：[1]青岛大学医学院附属医院小儿内科,山东青岛266003

出　　处：《现代生物医学进展》2012年第11期2124-2127,共4页Progress in Modern Biomedicine

摘　　要：目的:对比研究和评价不同方法治疗小儿阵发性室上性心动过速(PSVT)的的疗效,提高转复率。方法:回顾性分析2002.04-2011.05我院住院治疗的37例PSVT患儿的临床资料,并分析比较心律平与胺碘酮的药物转复率,构成比采用x2检验,α=0.05。结果:37例患儿中,13例治疗原发病后自动转率,24例患儿给予心律平治疗,其中1例放弃治疗,5例未见效,心律平转复率为69.77%,5例未见效患儿改用胺碘酮治疗,1例死于原发病,1例控制症状后行射频消融术治愈,胺碘酮转复率为75%,二者之间无显著差异性。结论:心律平与胺碘酮均能较好的治疗小儿PSVT,对于反复发作,药物治疗无效的小儿PSVT,射频消融术已成为最佳选择。Objective： To investigate the curative effect of different methods on treating paroxysmal supraventricular tachycardia of children.Methods： 37 cases were retrospective analyzed with regard.The conversion rates of propafenone and amiodarone were anal-ysis by chi-square test,α=0.05.Results： Of 37 children,13 cases had automatic conversion after curing the primary desease,24 cases were given propafenone,1 case gave up,5 cases had no effect.The propafenone conversion rate was 69.77%.5 cases with amiodarone,1 case died of dilated cardiomyopathy,1 case cured by Radiofrequency ablation after controlling clinical symptoms,the amiodarone con-version rate was 75%.There was no significant difference between them.Conclusion： The propafenone and amiodarone all had better conversion rate in children with paroxysmal supraventricular tachycardia,For the complexity and intractable paroxysmal supraventricular tachycardia,radiofrequency catheter ablation was become the best choice for the pediatric patients.

关 键 词：阵发性室上心性心动过速 临床特点 治疗 心脏复律 

分 类 号：R725.4[医药卫生—儿科]