小儿阵发性室上性心动过速102例临床复律方法分析  

Analyze Cardioversion Methods of 102 Children with Paroxysmal Supraventricular Tachycardia

作　　者：马力忠[1] 莫庆仪[1] 梁桂明[1] 李正然[1] 黄晓雯[1] 

机构地区：[1]广东省中山市博爱医院,广东中山528403

出　　处：《儿科药学杂志》2015年第6期24-27,共4页Journal of Pediatric Pharmacy

摘　　要：目的：探讨小儿阵发性室上性心动过速（PSVT）的临床复律方法。方法：总结分析我院2010年9月至2013年9月收治的102例阵发性室上性心动过速患儿的临床特征及复律方法。结果：0—3岁组患儿的临床表现主要为面色苍白（53．85％）、气促（46．15％）、呕吐（30．77％）、唇发绀（30．77％）；〉3岁组患儿临床表现主要为心悸（80．95％）、胸闷（73．02％）、面色苍白（77．78％）、气促（30．16％）。102例患儿共复律131例次，其中采用A11P复律47例次，成功复律35例（74．47％）；普罗帕酮复律43例次，成功复律31例（72．09％）；去乙酰毛花苷丙注射液（西地兰）复律16例次，成功复律11例（68．75％）；胺碘酮复律10例次，成功复律8例（80．00％）；食管心房调搏复律15例，成功复律15例（100％）。不同药物之间复律成功率比较差异无统计学意义，而药物复律与食管心房调搏的复律成功率比较差异有统计学意义（z。=61．963，P〈0．01）。结论：PSVT是儿科急症，药物复律的效果确切，药物无效或出现血流动力学障碍时可使用食管心房调搏复律。Objective： To study the clinical cardioversion methods of children with paroxysmal supraventricular tachycardia （PSVT）. Methods： One hundred and two children with PSVT in our hospital from September 2010 to September 2013 were given cardioversion treatment. Then analyzed the clinical characteristics and cardioversion methods of children with PSVT. Results： Clinical manifestations of 0 - 3 years old children were mainly pale （ 53.85% ）, shortness of breath （ 46. 15% ）, vomiting （ 30. 77% ）, lip cyanosis （30. 77% ）. Over 3 years old children with clinical manifestations of heart palpitations （80. 95% ）, chest distress （73.02%）, pale （77.78%）, shortness of breath （30. 16% ）. One hundred and two children were given a total of 131 times cardioversion treatment, 47 cases were given ATP, 35 cases were effective （74.47%）. Forty-three cases were given propafenone, 31 cases were effective （72. 09% ）. Sixteen cases were given west orchid, 11 cases were effective （68.75%）. Ten cases were given amiodarone, 8 cases were effective （80. 00% ）. Fifteen cases were given transesophageal atrial pacing, 15 cases were effective （100%）. There was no statistically significant difference in cardioerter success rate between different drugs, and drug cardioerter success rate compared with those of transesophageal atrial adjustable stroke difference was statistically significant （Xz = 61. 963, P 〈 0. 01 ）. Conclusion： PSTV in children is a pediatric emergency, the drug cardioversion is effective, when drug is invalid or hemodynamic disorders occur we can use transesophageal atrial pacing.

关 键 词：儿童 阵发性室上性心动过速 复律 食管心房调搏 药物选择 

分 类 号：R725.4[医药卫生—儿科]