小儿暴发性心肌炎合并Ⅲ°房室传导阻滞应用临时起搏器12例临床及预后观察  

Temporary cardiac Pacemaker on Children with Fulminant Myocarditis

作　　者：王艳 杨中文 曹振锋 史长松 程艳波 Wang Yan;Yang Zhongwen;Cao Zhengfeng(Henan Prov- ince People＇s Hospital,Henan 450003,Chin)

机构地区：[1]河南省人民医院(郑州大学人民医院)儿科,450003

出　　处：《医学研究杂志》2018年第7期116-119,125,共5页Journal of Medical Research

摘　　要：目的回顾笔者医院应用临时心脏起搏治疗小儿暴发性心肌炎合并Ⅲ°房室传导阻滞(Ⅲ°AVB)的临床疗效及预后。方法回顾12例罹患暴发性心肌炎合并Ⅲ°AVB并应用临时心脏起搏器的小儿的临床资料并进行疗效分析。结果 12例患儿中10例临床情况良好,住院时间明显缩短,3个月后随访仅2例出现心功能不全情况。结论置入临时心脏起搏器对于小儿暴发性心肌炎合并Ⅲ°AVB方法简便、效果可靠、创伤小、并发症少、可以快速应用,是抢救这类患儿生命的有效方法。Objective To evaluate the treatment experience of temporary cardiac pacemaker therapy on children with Ⅲ degree atrial ventricular block induced by fulminant myocarditis. Methods We retrospectively analyzed the clinical data of 12 children with Ⅲ degree atrial ventricular block induced by fulminant myocarditis rescued by temporary cardiac pacemaker. Results 12 cases exacerbated fulminatly and finally by heart pacing to keep the cardiac output and improved their clinical symptoms. The time and chance were given to take further treaments.1 case needed to use permanent pacemaker. Conclusion Installing temporary cardiac pacemaker, as a kind of practical rescue measure, which have rapid and stable effect, less trauma and less complications, can effectively save the children＇s life with Ⅲ degree atrial ventricular block induced by fulminant myocarditis.

关 键 词：暴发性心肌炎 Ⅲ°房室传导阻滞 临时心脏起搏器 儿童 

分 类 号：R725.4[医药卫生—儿科]