摘要
目的 提高小儿重症心肌炎抢救的成功率。 方法 将 10例重症心肌炎伴Ⅲ度房室传导阻滞 (简称Ⅲ°AVB)及时安装心脏临时起搏器抢救成功的病例作分析。 结果 8例病程短 ,呈暴发趋势 ,2例患儿在住院期间出现Ⅲ°AVB ,及时安装临时起搏器保证了患儿的心搏出量 ,赢得了抢救的时间和机会 ,其中 2例需要安置永久起搏器 ,1例自行终止治疗 ,7例预后好。 结论 心脏临时起搏器应用的首选适应证为急性心肌炎引起的Ⅲ°AVB伴阿 斯综合征发作 ,应掌握好起搏器使用的注意事项 ,使患儿度过危险期得以生存。
Objective To increase survival of children with acute and serious myocarditis.Methods Temporary heart pacing was used for treatment of 10 cases of serious myocarditis with Ⅲ° Atria ventricular block(AVB).Results 8 cases exacerbated fulminatly and 2 were found to have Ⅲ° AVB when hospitalizing. All survived finally by heart pacing to keep the cardiac output,and the time and chance were given to take further treatments.2 cases needed to use permanent pacemaker.1 case was given up by parents,7 cases had better outcomes.Conclusion Heart temporary pace making was the first choice suitable to acute myocarditis with Ⅲ° AVB and A S syndrome.
出处
《小儿急救医学》
2000年第3期133-134,共2页
Pediatric Emergency Medicine
关键词
重症心肌炎
心脏起搏
儿童
成功率
serious myocarditis
Ⅲ° AVB
Heart temporary pacing
