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目的:探讨新生儿阵发性室上性心律失常的病因、治疗及预后。方法:8例阵发性室上性心律失常患儿给予吸氧、纠酸、平衡内环境等对症治疗,7例患儿在对症治疗无效后给予普罗帕酮药物治疗。结果:在治疗原发疾病后,6例阵发性室上性心律失常患儿心律失常被纠正,7例阵发性室上性心律失常患儿给予普罗帕酮后心律失常被纠正,2例病情严重的患儿在心律失常纠正前死亡。结论:新生儿阵发性室上性心律失常的预后主要取决于全身性疾病的严重程度和心脏结构的完整性。
Objective: To investigate the etiology, treatment and prognosis of paroxysmal supraventricular arrhythmias in neonates. Methods: Eight patients with paroxysmal supraventricular arrhythmia were given symptomatic treatment of oxygen, acid correction and balance of internal environment. Seven children were given propafenone after symptomatic treatment was ineffective. RESULTS: Arrhythmia was corrected in 6 patients with paroxysmal supraventricular arrhythmias after treatment for primary disease, and arrhythmia was corrected in 7 children with paroxysmal supraventricular arrhythmias after propafenone treatment, and 2 patients A serious condition of children died before arrhythmia correction. CONCLUSIONS: The prognosis of paroxysmal supraventricular arrhythmias in neonates largely depends on the severity of the systemic disease and the structural integrity of the heart.