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未接种疫苗的先心病修复术后患儿发生流感相关性循环衰竭和房室传导阻滞。

Influenza associated with circulatory collapse and atrioventricular block in an unvaccinated child with repaired CHD.

机构信息

The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit, MI, USA.

出版信息

Cardiol Young. 2020 May;30(5):740-742. doi: 10.1017/S1047951120000797. Epub 2020 Apr 20.

DOI:10.1017/S1047951120000797
PMID:32308173
Abstract

Symptomatic, circulatory collapse occurred in an unvaccinated child with repaired congenital heart and a backup pacemaker during an Influenza B viral infection with complete atrioventricular block and pacemaker non-capture. Ventricular arrhythmias occurred during her collapse. Atrioventricular conduction recovered within 24 hours. Influenza-associated cardiac inflammation can adversely affect patients with repaired CHD. Proactive immunisation is strongly recommended.

摘要

一名未接种疫苗的先天性心脏病修复患儿和备用起搏器在乙型流感病毒感染期间出现症状性循环衰竭和完全性房室传导阻滞伴起搏器失夺获。在她的衰竭期间出现了室性心律失常。房室传导在 24 小时内恢复。与流感相关的心脏炎症会对修复后的 CHD 患者产生不利影响。强烈建议进行主动免疫接种。

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