Stevenson G W, Schuster J, Kross J, Hall S C
Children's Memorial Hospital, Department of Anesthesia, Chicago, IL 60614.
Can J Anaesth. 1990 Sep;37(6):672-4. doi: 10.1007/BF03006488.
The perioperative management of a 16-day-old infant with recurrent supraventricular tachycardia (SVT) is discussed. Vagal manoeuvres and medication were not adequate in controlling the SVT. Since the patient was scheduled for extensive surgery in the prone position, it was decided to use transoesophageal pacing as the method of choice for conversion of SVT. Transoesophageal pacing succeeded several times in overriding the SVT and restoring normal heart rate and haemodynamic variables. The advantages and disadvantages of various methods of treating SVT in the newborn are discussed.
讨论了一名16日龄复发性室上性心动过速（SVT）婴儿的围手术期管理。迷走神经手法和药物治疗在控制SVT方面效果不佳。由于该患者计划在俯卧位进行广泛手术，因此决定采用经食管起搏作为转复SVT的首选方法。经食管起搏多次成功抑制SVT并恢复正常心率和血流动力学参数。讨论了新生儿治疗SVT的各种方法的优缺点。
