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体外循环术后需要心肺复苏的呼吸暂停发作。

Postoperative Breath-Holding Spells Requiring Cardiopulmonary Resuscitation After Cardiopulmonary Bypass.

机构信息

Children's Hospital & Medical Center, Omaha, NE, USA.

University of Nebraska Medical Center, Omaha, USA.

出版信息

J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096211066281. doi: 10.1177/23247096211066281.

DOI:10.1177/23247096211066281
PMID:35277097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8922209/
Abstract

Breath-holding spells are common in childhood and can be associated with bradycardia and pulselessness. This report details severe breath-holding spells complicating postoperative management after atrial septal defect closure. The patient required cardiopulmonary resuscitation despite the use of a temporary pacemaker to prevent bradycardia. After multiple episodes of chest compressions, the decision was made to not intervene immediately to pulselessness and the patient was able to recover without further intervention.

摘要

屏气发作在儿童中很常见,可伴有心动过缓和无脉。本报告详细介绍了房间隔缺损封堵术后管理中并发的严重屏气发作。尽管使用了临时起搏器来预防心动过缓,但患者仍需要心肺复苏。在多次进行胸外按压后,决定在出现无脉时不立即进行干预,患者无需进一步干预即可恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce3/8922209/1180089e651b/10.1177_23247096211066281-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce3/8922209/53f171ce97a7/10.1177_23247096211066281-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce3/8922209/1180089e651b/10.1177_23247096211066281-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce3/8922209/53f171ce97a7/10.1177_23247096211066281-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce3/8922209/1180089e651b/10.1177_23247096211066281-fig2.jpg

相似文献

1
Postoperative Breath-Holding Spells Requiring Cardiopulmonary Resuscitation After Cardiopulmonary Bypass.体外循环术后需要心肺复苏的呼吸暂停发作。
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096211066281. doi: 10.1177/23247096211066281.
2
Breath-holding spells associated with significant bradycardia: successful treatment with permanent pacemaker implantation.与显著心动过缓相关的屏气发作:永久性起搏器植入治疗成功
Pediatrics. 2001 Sep;108(3):698-702. doi: 10.1542/peds.108.3.698.
3
The Utilization of an Insertable Cardiac Monitor in a Child With Pallid Breath-Holding Spells.可插入式心脏监测仪在患有苍白屏气发作儿童中的应用
Pediatr Neurol. 2016 Nov;64:80-82. doi: 10.1016/j.pediatrneurol.2016.06.011. Epub 2016 Jun 25.
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Case report of successful treatment of pallid breath-holding spells with glycopyrrolate.病例报告:采用格隆溴铵成功治疗苍白性屏气发作。
Pediatrics. 2015 May;135(5):e1308-11. doi: 10.1542/peds.2014-2456. Epub 2015 Apr 13.
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Pulselessness After Initiation of Cardiopulmonary Resuscitation for Bradycardia in Hospitalized Children.心肺复苏启动后住院患儿心动过缓无脉
Circulation. 2019 Jul 30;140(5):370-378. doi: 10.1161/CIRCULATIONAHA.118.039048. Epub 2019 Apr 22.
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Breath-holding spells and pacemaker implantation.屏气发作与起搏器植入
Pediatrics. 2001 Sep;108(3):765-6. doi: 10.1542/peds.108.3.765.
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Severe pallid breath-holding spells treated with low-dose theophylline.低剂量茶碱治疗严重苍白性屏气发作。
Brain Dev. 2021 Feb;43(2):348-351. doi: 10.1016/j.braindev.2020.09.004. Epub 2020 Sep 26.
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[Cardiac pacing in children with severe form of breath-holding spells, an exceptional treatment. A case report].[严重屏气发作患儿的心脏起搏——一种特殊治疗。病例报告]
J Med Liban. 2004 Jul-Sep;52(3):171-4.
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Pacemaker in complicated and refractory breath-holding spells: when to think about it?复杂难治性屏气发作时的起搏器治疗:何时考虑使用?
Brain Dev. 2015 Jan;37(1):2-12. doi: 10.1016/j.braindev.2014.02.004. Epub 2014 Mar 12.
10
[Cardiac pacing in children with breath-holding spells].[屏气发作儿童的心脏起搏]
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本文引用的文献

1
Severe pallid breath-holding spells treated with low-dose theophylline.低剂量茶碱治疗严重苍白性屏气发作。
Brain Dev. 2021 Feb;43(2):348-351. doi: 10.1016/j.braindev.2020.09.004. Epub 2020 Sep 26.
2
Cardiac pacing in cardioinhibitory syncope in children.儿童心脏抑制性晕厥的心脏起搏
Congenit Heart Dis. 2018 Nov;13(6):1064-1068. doi: 10.1111/chd.12682. Epub 2018 Oct 9.
3
Effect of iron supplementation in children with breath holding spells.补铁对屏气发作儿童的影响。
J Paediatr Child Health. 2017 Aug;53(8):749-753. doi: 10.1111/jpc.13556. Epub 2017 Jun 1.
4
The Utilization of an Insertable Cardiac Monitor in a Child With Pallid Breath-Holding Spells.可插入式心脏监测仪在患有苍白屏气发作儿童中的应用
Pediatr Neurol. 2016 Nov;64:80-82. doi: 10.1016/j.pediatrneurol.2016.06.011. Epub 2016 Jun 25.
5
Improved quality of life after treatment of prolonged asystole during breath holding spells with a cardiac pacemaker.使用心脏起搏器治疗屏气发作时的长时间心搏停止后生活质量得到改善。
Ann Pediatr Cardiol. 2015 May-Aug;8(2):113-7. doi: 10.4103/0974-2069.154142.
6
The value of neurologic and cardiologic assessment in breath holding spells.在屏气发作中进行神经和心脏评估的价值。
Pak J Med Sci. 2014 Jan;30(1):59-64. doi: 10.12669/pjms.301.4204.
7
Diverse presentation of breath holding spells: two case reports with literature review.屏气发作的多样表现:两例病例报告并文献复习
Case Rep Neurol Med. 2013;2013:603190. doi: 10.1155/2013/603190. Epub 2013 Sep 26.
8
Iron supplementation for breath-holding attacks in children.铁补充剂用于治疗儿童屏气发作
Cochrane Database Syst Rev. 2010 May 12(5):CD008132. doi: 10.1002/14651858.CD008132.pub2.
9
Breath-holding spells associated with significant bradycardia: successful treatment with permanent pacemaker implantation.与显著心动过缓相关的屏气发作:永久性起搏器植入治疗成功
Pediatrics. 2001 Sep;108(3):698-702. doi: 10.1542/peds.108.3.698.
10
Breathholding spells (cyanotic and pallid infantile syncope).屏气发作(青紫型和苍白型小儿晕厥)。
Pediatrics. 1967 Apr;39(4):563-81.