摘要
目的：探讨新生儿阵发性窒上性心动过速（PSVT）的治疗方法。方法：对15例阵发性室上性心动过速患儿的临床资料进行分析。结果：15例患儿中，除1例无效自动出院外。其余患儿均恢复窦性节律。心衰纠正、血清心肌酶恢复正常、肌钙蛋白转阴，于终止发作后4～10d出院．出院后继续服地高辛酏剂3-6个月。结论：（1）PSVT首先采用地高辛静脉注射治疗，若无效则按序分别加用“ATP、心律平、盐酸胺碘酮”；（2）该治疗方法列序安全可靠，值得临床应用。
Objective：To investigate the effective treatment of paroxysmal supraventricular tachycardia （PSVT） in neonates. Methods. The clinical data of 15 neonates with PSVT were retrogradely analyzed. Results： In 14 cases the cardial failure was corrected, normal sinus rhythm was obtained, normal myocardial enzyme spectrum and troponin seral levels were found. The above patients were discharged in 4-10 days after attack. Oral digoxin was ordered for 3 to 6 months for prevention. Other one patient refused further treatment at 92 hours after treatment initiation because of no obvious clinical inprovement. Conclusion： （1）Digoxin is the drug of the first choice in treating neonates with PSTV. ATP, propafenone and amiodarone should be added in case that digoxin infusion alone is not effective. （2）It is a safe and effective approach for treating PSVT.
出处
《实用临床医学（江西）》
CAS
2006年第11期142-143,145,共3页
Practical Clinical Medicine
关键词
心动过速
窒上性
诊断
治疗
婴儿
新生
tachycardia , supraventricular
diagnosis
treatment
infant, newborn
