早产儿永久性交界性反复性心动过速的治疗：病例报告
Treatment of Permanent Junctional Reciprocating Tachycardia in a Preterm Neonate: Case Report.
作者信息
Ilhan Ozkan, Hakan Nilay, Kayilioglu Hulya, Kirli Ulviye, Karacan Mehmet, Olgun Hasim
机构信息
Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.
Department of Pediatrics, Division of Pediatric Neurology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.
出版信息
J Pediatr Intensive Care. 2020 Jul 15;10(4):317-322. doi: 10.1055/s-0040-1713676. eCollection 2021 Nov.
Permanent junctional reciprocating tachycardia (PJRT) is most often observed in infants and children and can lead to incessant tachycardia. PJRT is usually refractory to medical treatment. Tachycardia may infrequently occur in the fetus in which case fetal tachycardia transplacental treatment should be started immediately. Term delivery is recommended for fetuses with tachycardia in the absence of significant clinical compromise to avoid complications of preterm birth. Herein, a 36-week preterm neonate presented with PJRT. He had tachycardia in the fetal period and was treated with digoxin, amiodaron, and esmolol therapy after birth without undergoing the catheter ablation procedure.
永久性交界性反复性心动过速（PJRT）最常见于婴幼儿，可导致持续性心动过速。PJRT通常对药物治疗无效。胎儿期心动过速很少见，一旦发生，应立即开始经胎盘治疗胎儿心动过速。对于无明显临床不良影响的心动过速胎儿，建议足月分娩以避免早产并发症。本文报告1例36周早产新生儿患PJRT。他在胎儿期即有心动过速，出生后接受了地高辛、胺碘酮和艾司洛尔治疗，未行导管消融术。
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