摘要
目的 探讨小儿心血管系统的常见急症—室上性心动过速的急救处理。方法 通过对我院近五年来急诊入院的44例室上性心动过速患儿进行病案回顾性总结,对三磷酸腺苷(ATP)和西地兰两种常用的药物疗法进行作用、速度、维持时间、副反应等的比较,分析两者各自的优劣。结果 ATP的转复率为7787%,转复时间1819±956sec,均明显优于西地兰组。本组资料未发现ATP的严重副反应。结论 ATP作为代谢速度快、起效快、转复率高、副作用相对较小的药物,在心电监护、准备好急救药物的情况下可以安全地使用。
Objective To approach the proper drug treatment of emergent paroxysmal supra ventricular tachycardia(SVT).Methods A retrospective research of 44 cases was done to compare the effect of ATP with that of Cedilanid on SVT.Results The transformative rate and time of ATP were 77 78% and 18 19±9 56 sec,the effects of ATP were obviously better than Cedilanid.No severe side effect of ATP was found in patients.Conclusion We found that ATP,which metabolized fast,transformed SVT to normal sinus rhythm fast and had less side effect.ATP can be used as the first drug to treat SVT in emergency.
出处
《小儿急救医学》
2000年第1期20-21,共2页
Pediatric Emergency Medicine
