摘要
心房扑动是儿科急症,婴儿发病率低。本文回顾1例快速心房扑动、心源性休克、肺出血4个月患儿经抗心律失常、机械通气及肾脏替代治疗等措施,得以成功转律,顺利脱机,脏器功能恢复的救治案例,并结合相关文献进行分析,探讨心房扑动治疗的药物及非药物治疗方法。本病例提示快速心房扑动易导致严重的血流动力学改变,甚至死亡,儿科医生应提高对该病的认识,及早救治,除使用抗心律失常药物策略外,积极纠正休克、液体复苏、重要脏器支持、血管活性药物使用等综合治疗可改善预后。
Atrial flutter is a pediatric emergency with a low incidence in infants.This article reviewed a successful case where a 4-month-old child with rapid atrial flutter,cardiogenic shock and pulmonary hemorrhage achieved cardioversion,got off the ventilator,and restored organ function after anti-arrhythmia,mechanical ventilation,and renal replacement therapy,and investigated the drug and non-drug treatment methods for atrial flutter combined with relevant literature analysis.This case suggests that rapid atrial flutter can easily lead to severe hemodynamic changes and even death.Pediatricians should raise their awareness of the disease and treat it as soon as possible.In addition to the use of antiarrhythmic drugs,the active adoption of comprehensive treatment measures such as shock correction,fluid resuscitation,vital organ support,and use of vasoactive drugs can improve the prognosis.
作者
程颖
肖书娜
CHENG Ying;XIAO Shuna(Department of Pediatric Intensive Medicine,Maternity and Child Healthcare Hospital of Hubei Province,Hubei,Wuhan 430070,China)
出处
《中国医药科学》
2020年第20期254-257,共4页
China Medicine And Pharmacy
基金
湖北省自然科学基金(2018CFB735)。
关键词
心房扑动
胺碘酮
诊治
婴儿
Atrial flutter
Amiodarone
Diagnosis and treatment
Infant
