食管心房调搏术在新生儿快速型心律失常的应用价值  

Value of transesophageal atrial pacing in neonates with tachyarrhythmia

作　　者：陈明[1] 覃杰华[1] 谭晓林[1] 黄峻[1] 马力忠[1] 张晓敏[1] 吴嘉荣[1] CHEN Ming;QIN Jie-Hua;TAN XiaooLin;HUANG Jun;MA Li-Zhong;ZHANG Xiao-Min;WU Jia-Rong(Department of Eleetrophysiology,Zhongshan Bo＇ai Hospital Affiliated to Southern Medical University,Zhongshan,Guangdong 528403,China)

机构地区：[1]南方医科大学附属中山市博爱医院电生理科,广东中山528403

出　　处：《中国当代儿科杂志》2018年第9期734-736,共3页Chinese Journal of Contemporary Pediatrics

基　　金：2015年中山市科研基金项目(2015B1178)

摘　　要：目的探讨食管心房调搏术(TEAP)在新生儿快速型心律失常的应用价值。方法收集进行TEAP电生理检查或复律的26例快速型心律失常新生儿的临床资料。结果 15例(58%)确诊为房室折返性心动过速,3例(12%)为窦性心动过速,3例(12%)为室速,2例(8%)为慢快型房室结折返性心动过速,2例(8%)为房性心动过速,1例(4%)为窦速伴心室预激。22例患儿进行了超速抑制,除2例房速和2例室速未能恢复窦律外,18例新生儿均成功复律。结论 TEAP能帮助诊断新生儿快速型心律失常,且能用于复律。Objective To study the value of transesophageal atrial pacing（TEAP） in neonates with tachyarrhythmia. Methods The clinical data of 26 neonates with tachyarrhythmia who underwent TEAP electrophysiological examination or cardioversion were collected. Results Of the 26 neonates, 15（58%） were diagnosed with atrioventricular reentrant tachycardia, 3（12%） were diagnosed with sinus tachycardia, 3（12%） were diagnosed with ventricular tachycardia, 2（8%） were diagnosed with fast/slow atrioventricular nodal reentrant tachycardia, 2（8%） were diagnosed with atrial tachycardia, and 1（4%） was diagnosed with sinus tachycardia with ventricular preexcitation. Overdrive suppression was performed for 22 neonates, among whom 18 achieved successful cardioversion, and 2 with atrial tachycardia and 2 with ventricular tachycardia failed to restore sinus rhythm. Conclusions TEAP is helpful to the diagnosis of tachyarrhythmia in neonates and can bring about a high rate of cardioversion success.

关 键 词：快速型心律失常 食管心房调搏术 新生儿 

分 类 号：R722.1[医药卫生—儿科]