Karmegaraj Balaganesh, Menon Danish, Prabhu Mukund A, Vaidyanathan Balu
Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Department of Adult Cardiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Ann Pediatr Cardiol. 2017 Sep-Dec;10(3):288-292. doi: 10.4103/apc.APC_31_17.
We report a case of flecainide toxicity in a premature neonate with permanent junctional reciprocating tachycardia which was managed successfully by reversal of the sodium blockade with intravenous sodium bicarbonate and supportive care. This report highlights the importance of strict supervision and monitoring while administering antiarrhythmic drugs in neonates and prompt institution of appropriate remedial action for treatment when toxicity is suspected.
我们报告了一例患有永久性交界性折返性心动过速的早产新生儿出现氟卡尼中毒的病例,通过静脉注射碳酸氢钠逆转钠阻滞并给予支持性护理成功处理了该病例。本报告强调了在给新生儿使用抗心律失常药物时进行严格监督和监测的重要性,以及在怀疑中毒时及时采取适当补救措施进行治疗的必要性。