Heinonen K M
Children's Hospital, University of Kuopio, Finland.
Intensive Care Med. 1992;18(8):491-2. doi: 10.1007/BF01708588.
Successful cardioversion of ventricular tachycardia in a full-term male infant, born severely depressed by emergency Cesarean section 9 min after the mother was given bilateral paracervical bupivacaine blocks for pain relief during normal labor, is described. The apparently stillborn baby was resuscitated by conventional means until electronic heart monitoring revealed transition from asystole to rapid ventricular tachycardia 14 min after birth. At 20 min, cardioversion with 5 watt-second was performed with successful reversion to sinus rhythm. The child recovered rapidly and neurological status at 12 months was normal. Obviously, active search and aggressive management of rapid ventricular arrhythmias are indicated during neonatal resuscitation, if potentially arrhythmogenic drugs are used in perinatal care.
本文描述了一名足月男婴成功进行室性心动过速心脏复律的案例。该婴儿通过紧急剖宫产出生，出生时情况严重不佳，其母在正常分娩过程中为缓解疼痛接受了双侧宫颈旁布比卡因阻滞，9分钟后产下婴儿。这名看似死产的婴儿通过传统方法进行复苏，直到出生后14分钟电子心脏监测显示从心搏停止转变为快速室性心动过速。20分钟时，使用5瓦秒进行心脏复律，成功恢复窦性心律。该患儿恢复迅速，12个月时神经状态正常。显然，如果围产期护理中使用了可能致心律失常的药物，在新生儿复苏期间应积极寻找并积极处理快速室性心律失常。
