Rowland T W, Mathew R, Chameides L, Keane J F
Pediatrics. 1978 Jan;61(1):52-6.
The experience of three institutions in the management of atrial flutter in infants under 2 years of age without associated heart disease is reviewed. Five babies with neonatal onset were treated with digoxin and had uncomplicated resolution of their arrhythmia, although one continued to have episodes of paroxysmal supraventricular tachycardia for six years. Two of the three older infants required DC cardioversion for complications after quinidine was substituted for digoxin therapy. Digoxin continues to be the preferred initial therapy for non-acutely ill patients; those showing signs of cardiac decompensation should be converted with DC countershock.
回顾了三家机构对2岁以下无相关心脏病婴儿房扑的管理经验。五名新生儿期发病的婴儿接受了地高辛治疗，心律失常得到了顺利解决，尽管有一名婴儿持续六年出现阵发性室上性心动过速发作。三名年龄较大的婴儿中有两名在奎尼丁替代地高辛治疗后因出现并发症而需要直流电复律。地高辛仍然是病情不严重患者的首选初始治疗方法；那些出现心脏代偿失调迹象的患者应采用直流电除颤进行转复。
