摘要
目的提高对食管心房调搏术(TEAP)治疗新生儿阵发性室上性心动过速(PSVT)的认识。方法回顾性分析24例PSVT足月新生儿TEAP治疗的临床资料。结果 24例PSVT足月新生儿中男14例,女10例;平均年龄(8.46±8.28)d(15 h^28 d);其中11例经1次TEAP即成功转为窦性心律,5例经再次TEAP成功,3例经3次TEAP成功,1例在第2次TEAP时出现房颤后继续经2次TEAP后成功,4例失败。1次TEPA成功和非1次TEPA成功的PSVT足月新生儿在基础疾病发生比例的差异无统计学意义(P>0.05);非1次TEPA成功者有PSVT复发率增加和住院时间延长的倾向,但均未达到统计学意义(P>0.05)。结论 TEPA是治疗足月新生儿PSVT的有效方法。
Objectives To improve the knowledge in the treatment of neonatal paroxysmal supraventricular tachycardia （PSVT） with transesophageal atrial pacing （TEAP）. Methods Clinical data of 24 newborns with PSVT treated with TEAP were analyzed retrospectively. Results A total of 24 term PSVT newborns （14 males and 10 females） with an average age of （8.46±8.28） d （15 h-28 d） were enrolled in this study. Successful conversion to sinus rhythms after using TEAP once was seen in 11 cases, in 5 cases after using TEAP twice, and in 3 cases after using TEAP three times; atrial fibrillation occurred in one case after 2nd TEAP and successful conversion to sinus rhythms finally occurred after using TEAP twice more; TEAP had no effect in four cases. Between PSVT newborns having successful conversion after using TEPA once and other PSVT newborns, there were no differences in incidences of birth asphyxia, respiratory or digestive infection, sepsis, congenital heart diseases, myocarditis, hypocalcemia, hyponatremia, abnormal myocardial enzymes, abnormal heart shadow on chest X-ray, recurrence rate of PSVT, and heart rate, blood pressure and hospitalization time. Conclusions TEPA is an effective treatment for neonatal PSVT.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2014年第1期23-25,共3页
Journal of Clinical Pediatrics
关键词
食管心房调搏术
阵发性室上性心动过速
新生儿
transesophageal atrial pacing
paroxysmal supraventricular tachycardia
newborn
