Haas Nikolaus A, Fox Scott, Skinner Jonathan R
Department of Paediatric Intensive Care, The Prince Charles Hospital, Brisbane, Australia.
Cardiol Young. 2005 Aug;15(4):427-30. doi: 10.1017/S1047951105000892.
After repair of an atrioventricular septal defect with common atrioventricular junction in a 2-month-old girl, rapid atrial tachycardia, in combination with junctional ectopic tachycardia, led to severe postoperative cardiovascular compromise. Intercurrent runs of ectopic atrial tachycardia made atrial pacing impossible, despite high doses of intravenous amiodarone. Following the addition of flecainide to the infusion, we were able to control the rhythm, and when combined with atrial pacing, this led to an immediate haemodynamic improvement. Treatment of refractory supraventricular tachycardias with amiodarone combined with flecainide can be very effective in the setting of postoperative cardiac intensive care.
在一名2个月大女孩的房室间隔缺损伴共同房室连接修复术后，快速房性心动过速与交界性异位性心动过速共同导致了严重的术后心血管功能损害。尽管静脉注射了高剂量的胺碘酮，但间歇性的异位房性心动过速发作使得心房起搏无法进行。在输注液中加入氟卡尼后，我们得以控制心律，并且当与心房起搏联合使用时，这立即带来了血流动力学的改善。在术后心脏重症监护环境中，用胺碘酮联合氟卡尼治疗难治性室上性心动过速可能非常有效。
