摘要
本文报道小儿完全性房室传导阻滞(CAVB)30例。对诊断、影响预后因素、治疗原则尤其对安装起搏器指征作了讨论。
Thirty cases of CAVB were retrospectively analyzed. 8 of the cases were CAVB with fetal BC in 3 and post-natal BC in 4,1 died at 10 days of age with ventricular rate of 36 bpm and ORS complex 0.16 sec, another died at 40 days associated with ECFE, the remaining 6 were stable during the follow-up period. The diagnosis, risk factors and management were discussed. CAVB wore identified in 12 patients undergone open heart surgery. 9 of them recovered completely within 2 weeks postoperatively, while 2 still had CAVB although were stable during 1 and 2.5 years follow-up, 1 died of low cardiac output syndrome despite of medical management and temporary pacing. Management principle and indications for pacemaker implantation were reviewed. Ten cases had VM complicated by CAVB. 3 of them recovered completely, 4 improved and switched to grade Ⅱ AVB (type Ⅱ),and 3 cousistently had CAVB but were clinically stable during 1 year follow-up. No death in the acute period. The importance of intensive care unit in the medical management for CAVB was emphasized. Periodic follow up is necessary for all patientswith CAVB.
出处
《中国循环杂志》
CSCD
1992年第3期254-256,共3页
Chinese Circulation Journal
关键词
完全性
房室传导阻滞
儿童
Complete atrioventricular block
Congenital
Open heart operation
Viral myocarditis.
