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阵发性室上性心动过速(简称PSVT)是儿科最常见的快速型异位心律失常。小儿发病率为1:25000,实际发病率可能更高。此病虽然不多见,但属儿科急症之一;若不及时治疗可发生心力衰竭和/或心源性休克,甚至死亡。我院儿科于1978～1986年共收治PSVT20例,现就临床资料结合文献复习讨论诊治中的几个问题。临床资料一、一般资料男11例,女9例。年龄40天～13岁,<1岁4例,1～3岁2例,5岁、7岁各1例,9～13岁12例。病程30小时～5年。其中<1个月8例,1个月～1年10例,1～5年2例,呈反复发作者12例,其中发作5～10次者2例,>10次者4例。
Paroxysmal supraventricular tachycardia (referred to as PSVT) is the most common pediatric rapid ectopic arrhythmias. The incidence of pediatric 1: 25000, the actual incidence may be higher. Although the disease is rare, but it is one of the pediatric emergency; if not treated in time may occur heart failure and / or cardiogenic shock, and even death. Pediatrics in our hospital from 1978 to 1986 were treated 20 cases of PSVT, are now on the clinical data combined with the literature review to discuss several problems in diagnosis and treatment. Clinical data First, the general information 11 males and 9 females. Aged 40 days to 13 years old, <1 year in 4 cases, 1 to 3 years old in 2 cases, 5 years old, 7 years old in 1 case, 9 to 13 years in 12 cases. Duration of 30 hours to 5 years. Among them, there were 8 cases in 1 month, 10 cases in 1 month to 1 year and 2 cases in 1 to 5 years. Twelve cases were recurrent, including 2 cases with 5 to 10 episodes and 4 cases with> 10 times.