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一名儿科患者的贝尔哈森心动过速：针对儿科急诊医学住院医师的模拟病例

Belhassen Tachycardia in a Pediatric Patient: A Simulation for Pediatric Emergency Medicine Fellows.

作者信息

Keilman Ashley E, Deen Jason, Augenstein Julie A, Zuckerbraun Noel, Burns Rebekah

机构信息

Pediatrics - Emergency Medicine, University of Washington School of Medicine, Seattle, USA.

Pediatrics - Cardiology, University of Washington School of Medicine, Seattle, USA.

出版信息

Cureus. 2022 Mar 26;14(3):e23521. doi: 10.7759/cureus.23521. eCollection 2022 Mar.

DOI:10.7759/cureus.23521
PMID:35494995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9038589/
Abstract

Ventricular tachycardia in pediatric emergency department patients is a high-risk, low-frequency event well suited for education through simulation. This technical report describes a simulation-based curriculum for Pediatric Emergency Medicine fellows and senior residents involving the evaluation and management of a 10-year-old female presenting with palpitations who is ultimately diagnosed with Belhassen tachycardia. The curriculum highlights the features that differentiate Belhassen tachycardia (idiopathic left posterior fascicular ventricular tachycardia) from supraventricular or other tachycardias, building upon foundational pediatric resuscitation skills and Pediatric Advanced Life Support (PALS) algorithms for advanced learners.

摘要

儿科急诊科患者的室性心动过速是一种高风险、低频率事件，非常适合通过模拟进行教学。本技术报告描述了一种针对儿科急诊医学住院医师和高年资住院医生的基于模拟的课程，内容涉及对一名因心悸就诊的10岁女性患者的评估和管理，该患者最终被诊断为贝尔哈森心动过速。该课程以基础儿科复苏技能和面向高级学习者的儿科高级生命支持（PALS）算法为基础，突出了贝尔哈森心动过速（特发性左后分支室性心动过速）与室上性或其他心动过速的鉴别特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/df24735a87d3/cureus-0014-00000023521-i16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/df24735a87d3/cureus-0014-00000023521-i16.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/c4b74d23ac1f/cureus-0014-00000023521-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/667ffe3c2604/cureus-0014-00000023521-i05.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/12c1e369300e/cureus-0014-00000023521-i08.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/27f71b1d9348/cureus-0014-00000023521-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/6de07da5f91b/cureus-0014-00000023521-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6080/9038589/8ff2ec0b223e/cureus-0014-00000023521-i13.jpg
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Differentiating the QRS Morphology of Posterior Fascicular Ventricular Tachycardia From Right Bundle Branch Block and Left Anterior Hemiblock Aberrancy.鉴别后分支室性心动过速的QRS形态与右束支传导阻滞及左前分支阻滞伴室内差异性传导。
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