Mileder Lukas Peter, Morris Nicholas Mark, Kurath-Koller Stefan, Pansy Jasmin, Pichler Gerhard, Pocivalnik Mirjam, Schwaberger Bernhard, Burmas Ante, Urlesberger Berndt
Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria.
Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria.
Children (Basel). 2021 May 20;8(5):421. doi: 10.3390/children8050421.
An asphyxiated term neonate required postnatal resuscitation. After six minutes of cardio-pulmonary resuscitation (CPR) and two doses of epinephrine, spontaneous circulation returned, but was shortly followed by ventricular fibrillation. CPR and administration of magnesium, calcium gluconate, and sodium bicarbonate did not improve the neonate's condition. A counter shock of five Joule was delivered and the cardiac rhythm immediately converted to sinus rhythm. The neonate was transferred to the neonatal intensive care unit and received post-resuscitation care. Due to prolonged QTc and subsequently suspected long-QT syndrome propranolol treatment was initiated. The neonate was discharged home on day 14 without neurological sequelae.
一名足月窒息新生儿需要产后复苏。经过六分钟的心肺复苏（CPR）和两剂肾上腺素后，自主循环恢复，但随后不久出现室颤。CPR以及使用镁、葡萄糖酸钙和碳酸氢钠均未改善新生儿的状况。给予5焦耳的除颤电击后，心律立即转为窦性心律。新生儿被转至新生儿重症监护病房并接受复苏后护理。由于QTc延长且随后怀疑患有长QT综合征，开始使用普萘洛尔治疗。新生儿在第14天出院，无神经后遗症。
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