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新生儿复杂心律失常的解读与医学处理

The interpretation and medical management of complex arrhythmias in the newborn infant.

作者信息

Casta A

机构信息

Department of Pediatrics, University of Texas Medical Branch, Galveston 77550.

出版信息

P R Health Sci J. 1987 Aug;6(2):73-9.

PMID:3671657
Abstract

The clinical history, long term follow-up, and the surface electrocardiographic interpretation of four newborn infants with different arrhythmias are described. The arrhythmias discussed are: supraventricular tachycardia involving an accessory atrioventricular nodal bypass tract (Kent fibers), ectopic atrial tachycardia, atrioventricular nodal reentrant tachycardia, and ventricular tachycardia associated with congenital prolonged QT syndrome. Echocardiographic examination completed the evaluation in these newborns. A cardiac tumor was found in one infant and an aneurysm of the atrial septum was observed in two. Pharmacological therapy was successful in each newborn infant.

摘要

本文描述了4例患有不同心律失常的新生儿的临床病史、长期随访情况以及体表心电图解读。所讨论的心律失常包括:涉及房室旁道(肯特纤维)的室上性心动过速、异位房性心动过速、房室结折返性心动过速以及与先天性QT间期延长综合征相关的室性心动过速。超声心动图检查完善了这些新生儿的评估。1例婴儿发现心脏肿瘤,2例观察到房间隔瘤。药物治疗在每例新生儿中均取得成功。

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